Peripheral Ulcerative Keratitis and Necrotizing Scleritis Initiated by Trauma in the Setting of Mixed Cryoglobulinemia

Purpose: To report a case of peripheral ulcerative keratitis and necrotizing scleritis precipitated by trauma in a patient with mixed cryoglobulinemia due to hepatitis C viral infection. Methods: Case report and literature review. Results: A 62-year-old man with a history of mixed cryoglobulinemia d...

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Main Authors: Cameron Campbell Johnson, Derek Hunter Ohlstein
Format: Article
Language:English
Published: Karger Publishers 2011-12-01
Series:Case Reports in Ophthalmology
Subjects:
Online Access:http://www.karger.com/Article/FullText/334496
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author Cameron Campbell Johnson
Derek Hunter Ohlstein
author_facet Cameron Campbell Johnson
Derek Hunter Ohlstein
author_sort Cameron Campbell Johnson
collection DOAJ
description Purpose: To report a case of peripheral ulcerative keratitis and necrotizing scleritis precipitated by trauma in a patient with mixed cryoglobulinemia due to hepatitis C viral infection. Methods: Case report and literature review. Results: A 62-year-old man with a history of mixed cryoglobulinemia developed an episode of necrotizing scleritis and peripheral ulcerative keratitis one month after repair of a traumatic scleral defect with patch grafting. This episode resolved following treatment with high-dose corticosteroids and the patient underwent successful repeat patch grafting along with a free conjunctival autograft. This is the second reported case of necrotizing scleritis and peripheral ulcerative keratitis associated with mixed cryoglobulinemia. Conclusion: Ophthalmologists should be aware of the association between mixed cryoglobulinemia and necrotizing scleritis/peripheral ulcerative keratitis. Patients with this condition experiencing ocular trauma or undergoing ocular surgery should be monitored closely.
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spelling doaj.art-d9370f100700497988b4b072e0c95aa22022-12-22T03:23:21ZengKarger PublishersCase Reports in Ophthalmology1663-26992011-12-012339239710.1159/000334496334496Peripheral Ulcerative Keratitis and Necrotizing Scleritis Initiated by Trauma in the Setting of Mixed CryoglobulinemiaCameron Campbell JohnsonDerek Hunter OhlsteinPurpose: To report a case of peripheral ulcerative keratitis and necrotizing scleritis precipitated by trauma in a patient with mixed cryoglobulinemia due to hepatitis C viral infection. Methods: Case report and literature review. Results: A 62-year-old man with a history of mixed cryoglobulinemia developed an episode of necrotizing scleritis and peripheral ulcerative keratitis one month after repair of a traumatic scleral defect with patch grafting. This episode resolved following treatment with high-dose corticosteroids and the patient underwent successful repeat patch grafting along with a free conjunctival autograft. This is the second reported case of necrotizing scleritis and peripheral ulcerative keratitis associated with mixed cryoglobulinemia. Conclusion: Ophthalmologists should be aware of the association between mixed cryoglobulinemia and necrotizing scleritis/peripheral ulcerative keratitis. Patients with this condition experiencing ocular trauma or undergoing ocular surgery should be monitored closely.http://www.karger.com/Article/FullText/334496ScleritisPeripheral ulcerative keratitisPUKMixed cryoglobulinemiaHepatitis C
spellingShingle Cameron Campbell Johnson
Derek Hunter Ohlstein
Peripheral Ulcerative Keratitis and Necrotizing Scleritis Initiated by Trauma in the Setting of Mixed Cryoglobulinemia
Case Reports in Ophthalmology
Scleritis
Peripheral ulcerative keratitis
PUK
Mixed cryoglobulinemia
Hepatitis C
title Peripheral Ulcerative Keratitis and Necrotizing Scleritis Initiated by Trauma in the Setting of Mixed Cryoglobulinemia
title_full Peripheral Ulcerative Keratitis and Necrotizing Scleritis Initiated by Trauma in the Setting of Mixed Cryoglobulinemia
title_fullStr Peripheral Ulcerative Keratitis and Necrotizing Scleritis Initiated by Trauma in the Setting of Mixed Cryoglobulinemia
title_full_unstemmed Peripheral Ulcerative Keratitis and Necrotizing Scleritis Initiated by Trauma in the Setting of Mixed Cryoglobulinemia
title_short Peripheral Ulcerative Keratitis and Necrotizing Scleritis Initiated by Trauma in the Setting of Mixed Cryoglobulinemia
title_sort peripheral ulcerative keratitis and necrotizing scleritis initiated by trauma in the setting of mixed cryoglobulinemia
topic Scleritis
Peripheral ulcerative keratitis
PUK
Mixed cryoglobulinemia
Hepatitis C
url http://www.karger.com/Article/FullText/334496
work_keys_str_mv AT cameroncampbelljohnson peripheralulcerativekeratitisandnecrotizingscleritisinitiatedbytraumainthesettingofmixedcryoglobulinemia
AT derekhunterohlstein peripheralulcerativekeratitisandnecrotizingscleritisinitiatedbytraumainthesettingofmixedcryoglobulinemia