Stabilization of Bilateral Progressive Rheumatoid Corneal Melt with Infliximab
Joint Authors
Parmar, Dipak N.
Antao, Sheelah F.
Ayoub, Tariq
Tahir, Hasan
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-05-30
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Purpose.
To report the use of infliximab in the rapid stabilization of a case of progressive, bilateral rheumatoid peripheral ulcerative keratitis (PUK) that failed to respond to conventional immunosuppressive therapy.
Methods.
A single interventional case report.
Results.
A patient with rheumatoid arthritis presented with bilateral PUK following a 2-month history of ocular discomfort and redness.
His systemic prednisolone (PDN) and methotrexate (MTX) were increased and, despite an initial favorable response, bilateral recurrent corneal perforations ensued.
Both eyes underwent cyanoacrylate glue repair, amniotic membrane transplantation (AMT), and penetrating keratoplasty (PKP).
Recurrence of the disease and bilateral perforations of the second PKP in both eyes prompted administration of intravenous infliximab immediately after the fourth PKP.
The disease activity rapidly settled in both eyes, and at eighteen-month followup, after 12 infliximab infusions, the PUK remains quiescent with no further graft thinning or perforation.
Conclusion.
Infliximab can be used to arrest the progression of severe bilateral rheumatoid PUK in cases that are refractory to conventional treatment.
American Psychological Association (APA)
Antao, Sheelah F.& Ayoub, Tariq& Tahir, Hasan& Parmar, Dipak N.. 2012. Stabilization of Bilateral Progressive Rheumatoid Corneal Melt with Infliximab. Case Reports in Ophthalmological Medicine،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-451785
Modern Language Association (MLA)
Antao, Sheelah F.…[et al.]. Stabilization of Bilateral Progressive Rheumatoid Corneal Melt with Infliximab. Case Reports in Ophthalmological Medicine No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-451785
American Medical Association (AMA)
Antao, Sheelah F.& Ayoub, Tariq& Tahir, Hasan& Parmar, Dipak N.. Stabilization of Bilateral Progressive Rheumatoid Corneal Melt with Infliximab. Case Reports in Ophthalmological Medicine. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-451785
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-451785