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Corneal deposits as the presenting sign of IgG4-related disease: a case report

Poster Details


First Author: M.Mestanoglu TURKEY

Co Author(s): R. Kurt   B. Sonmez                 

Abstract Details

Purpose:

To report a case that describes corneal deposits in a female patient as the presenting and only sign of IgG4-related disease and its management

Setting:

Bahçeşehir University School of Medicine, Department of Ophthalmology, Istanbul, Turkey

Methods:

A 61-year-old female patient presented with recurring non-symptomatic, gradual onset, white corneal stromal deposits in her left eye which was previously operated elsewhere a year ago. Before that, she had no history of previous ocular trauma, surgery or any eye disease. Systemic blood work-up with internal medicine consultation revealed IgG4-related disease.

Results:

Slit-lamp examination demonstrated 8x10 mm diffuse, whitish-gray crystalline like anterior stromal deposits in the upper nasal cornea in the left eye. EDTA assisted superficial keratectomy combined with amniotic membrane transplantation was performed.

Conclusions:

Corneal deposits are rare manifestations of paraproteinemic keratopathies. Here we report a case with unilateral, asymptomatic corneal deposits as the presenting sign of IgG4-related disease.

Financial Disclosure:

None

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