Posters

The management of corneal perforation associated with rheumatoid arthritis using cyanoacrylate glue: a case report

Poster Details

First Author: I.Hanafi MOROCCO

Co Author(s): I. Hanafi   H. Hamdani   R. Nasrouni   L. Elmaaloum   B. Allali   A. El Kettani     

Abstract Details

Purpose:

the interest of cyanoacrylate glue in the treatment of corneal perforations in patients followed for rheumatoid arthritis. Collected in the ophthalmology department of Casablanca University Hospital Center.

Setting:

We report the case of a woman followed for rheumatoid arthritis who presented a bilateral sterile paracentral ulcer   with corneal perforation  in the left eye (1mm)that responded well to treatment with cyanoacrylate and corticosteroids.

Methods:

A 56-year-old woman followed for 4 years in rheumatology for severe rheumatoid arthritis associated with a severe dry syndrome treated with artificial tears . urgently consults for brutal painful   bilateral loss of  visual acuity with foreign body sensation .

Results:

The ophthalmological examination : visual acuity of 1/10 in the right eye and counting fingres at 0.5 meter  in the left eye.  Biomicroscopic examination :  bilateral sterile paracentral ulcer with corneal perforation  in the left eye (1mm) . A Schirmer test : impregnation of 1mm paper   in five minutes to each eye. Bacteriological specimens were sterile  . the patient was put on treatment based on : closure of the perforation by cyanoacrylate glue. contact lenses . artificial tears. oral corticosteroid therapy in decreasing doses. evolution was marked by complete healing of ulcer and improvement of visual acuity

Conclusions:

Sterile corneal ulcers are rare but potentially serious complications of rheumatoid arthritis . cyanoacrylate adhesives remain the best choice for small diameter perforations. Our study illustrates a case that responded well to treatment with cyanoacrylate and corticosteroids.

Financial Disclosure:

None