Posters

Crohn's disease revealed by corneal perforation

Poster Details

First Author: B.Soukaina MOROCCO

Co Author(s): F. Ouali   S. Bouziane   A. Mchachi   L. Benhmidoune   R. Rachid   M. Elbelhadji     

Abstract Details

Purpose:

To report through a medical observation a rare case of an association of intestinal and ocular inflammatory disease

Setting:

adult ophtalmology departement  Casablanca

Methods:

Mrs. R ,38 years old, who describes in her ophthalmological antecedents a red eyes with repetition and she’s  being followed for a primary sjögren’s syndrome since 05 years, also she  describes a repetition of intestinal pain and diarrhea. on her ophthalmological examination for the concerned eye we found a visual acuity at 0.2, a superficial punctiform keratitis and a  temporal corneal perforation measuring  2mm blocked by the iris.The examination of the other eye found a visual acuity at 0.6 with a dry eye.

Results:

the patient benefited from a conjunctival coverage with artificial tears. An immunological assessment was requested and an ileo-colonoscopy was performed with multiple biopsies. The result was in favor of Crohn's disease.

Conclusions:

Ocular involvement is variable during Crohn's disease. The Ocular involvement is variable and it’s dominated by anterior uveitis. It could be dangerous and could engage the visual function. the treatment is based on local and / or general corticosteroid therapy in the benign forms the collaboration between ophthalmologists, gastroenterologists and internists is required for a good care.

Financial Disclosure:

None