Posters

Aseptic keratolysis: rare and serious ocular complication of autoimmune diseases not to be ignored – about one case

Poster Details

First Author: H.Habi MOROCCO

Co Author(s): K. Benouhoud   A. Khachane   A. Mchachi   L. Benhmidoune   R. Rachid   M. Elbelhadji     

Abstract Details

Purpose:

To recall the clinic as well as the diagnosis and therapeutic approach to this rare and serious ophthalmological manifestation, and this through a clinical case

Setting:

Adult ophtalmology department, Hospital August 20th, 1953,  Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca

Methods:

We report the clinical case of a patient with bilateral aseptic keratolysis, revealing an underlying autoimmune disease

Results:

This is a 45-year-old man who has been consulting for bilateral eye pain since 1 month, worsened for 3 days by a sudden drop in visual acuity(AV) on the right.The exam finds an VA with hand movement in both eyes,and a bilateral corneal ulcer, paracentral left, peripheral and pre-perforative right.The corneal specimens returned sterile.The sedimentation rate was accelerated.The patient was put under autologous serum and then under a bolus of methylprednisolone.The diagnosis of bilateral aseptic keratolysis on Sjogren's syndrome was performed after biological assessment and biopsy of the salivary glands.The evolution was marked by a total healing of the ulcer.

Conclusions:

Aseptic keratolysis is a real diagnostic and therapeutic emergency. It must be evoked in front of any sterile corneal ulcer with a die-cast appearance.The main etiological diagnoses to be mentioned are Sjogren Goujerot syndrome and rheumatoid arthritis. Treatment mainly involves corticosteroids in general.This ocular manifestation constitutes an evolutionary turning point of the disease, hence the importance of collaboration with internists, in order to balance the basic treatment and preserve the functional prognosis. Financial disclosure : none

Financial Disclosure:

None