Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature
Elias Chelala, Hala El Rami, Ali Dirani, Henry Fakhoury, Ali Fadlallah Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon Background: Superior limbic keratoconjunctivitis (SLK) is characterized as an inflammation of the superior bulbar conjunctiva with predominant involvement of the sup...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2015-03-01
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| Series: | Clinical Ophthalmology |
| Online Access: | http://www.dovepress.com/extensive-superior-limbic-keratoconjunctivitis-innbspgravesrsquo-disea-peer-reviewed-article-OPTH |
| _version_ | 1818905646100119552 |
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| author | Chelala E El Rami H Dirani A Fakhoury H Fadlallah A |
| author_facet | Chelala E El Rami H Dirani A Fakhoury H Fadlallah A |
| author_sort | Chelala E |
| collection | DOAJ |
| description | Elias Chelala, Hala El Rami, Ali Dirani, Henry Fakhoury, Ali Fadlallah Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon Background: Superior limbic keratoconjunctivitis (SLK) is characterized as an inflammation of the superior bulbar conjunctiva with predominant involvement of the superior limbus and adjacent epithelial keratitis.Methods: A 51-year-old woman, with a history of medically controlled Graves’ disease was seen with an extensive SLK involving 5 mm of the superior cornea.Results: Total remission was observed with topical steroids (DXM). Recurrence was observed 1 week after steroid discontinuation, and steroidal treatment was reintroduced with tapering over 1 month. Total remission was then observed for 1 year. Conclusion: Extensive keratitis and vascular pannus in SLK is rarely reported. This form could be treated with topical steroids. Tapering treatment remains essential for long-term success. Keywords: superior limbic keratoconjunctivitis, anti-inflammatory drugs, dexamethasone, triamcinolone, Graves’ disease |
| first_indexed | 2024-12-19T21:26:38Z |
| format | Article |
| id | doaj.art-74d1bdb783f245bfaadd695b7507f7d5 |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-12-19T21:26:38Z |
| publishDate | 2015-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-74d1bdb783f245bfaadd695b7507f7d52022-12-21T20:05:07ZengDove Medical PressClinical Ophthalmology1177-54832015-03-012015default46746820802Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literatureChelala EEl Rami HDirani AFakhoury HFadlallah AElias Chelala, Hala El Rami, Ali Dirani, Henry Fakhoury, Ali Fadlallah Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon Background: Superior limbic keratoconjunctivitis (SLK) is characterized as an inflammation of the superior bulbar conjunctiva with predominant involvement of the superior limbus and adjacent epithelial keratitis.Methods: A 51-year-old woman, with a history of medically controlled Graves’ disease was seen with an extensive SLK involving 5 mm of the superior cornea.Results: Total remission was observed with topical steroids (DXM). Recurrence was observed 1 week after steroid discontinuation, and steroidal treatment was reintroduced with tapering over 1 month. Total remission was then observed for 1 year. Conclusion: Extensive keratitis and vascular pannus in SLK is rarely reported. This form could be treated with topical steroids. Tapering treatment remains essential for long-term success. Keywords: superior limbic keratoconjunctivitis, anti-inflammatory drugs, dexamethasone, triamcinolone, Graves’ diseasehttp://www.dovepress.com/extensive-superior-limbic-keratoconjunctivitis-innbspgravesrsquo-disea-peer-reviewed-article-OPTH |
| spellingShingle | Chelala E El Rami H Dirani A Fakhoury H Fadlallah A Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature Clinical Ophthalmology |
| title | Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature |
| title_full | Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature |
| title_fullStr | Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature |
| title_full_unstemmed | Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature |
| title_short | Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature |
| title_sort | extensive superior limbic keratoconjunctivitis in nbsp graves rsquo disease case report and mini review of nbsp the literature |
| url | http://www.dovepress.com/extensive-superior-limbic-keratoconjunctivitis-innbspgravesrsquo-disea-peer-reviewed-article-OPTH |
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