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Ocular Immunology and Inflammation Volume 15, 2007 - Issue 1
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CASE REPORT

Ring Keratopathy in a Patient with Psoriatic Arthritis and Ulcerative Rectocolitis

M. P. Paroli Department of Ophthalmology, Ocular Immunovirology Service, University of Rome, “La Sapienza,”, Rome, Italy
,
A. Bruscolini Department of Ophthalmology, Ocular Immunovirology Service, University of Rome, “La Sapienza,”, Rome, Italy
,
L. De Carlo Department of Ophthalmology, Ocular Immunovirology Service, University of Rome, “La Sapienza,”, Rome, Italy
,
A. Papale Department of Ophthalmology, Ocular Immunovirology Service, University of Rome, “La Sapienza,”, Rome, Italy
&
G. Mannino Department of Ophthalmology, Ocular Immunovirology Service, University of Rome, “La Sapienza,”, Rome, Italy
Pages 51-56 | Accepted 11 Dec 2006, Published online: 08 Jul 2009
 
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Abstract

Purpose: To describe a bilateral ring-shaped corneal opacity associated to immunological bowel and skin diseases. Methods: Ophthalmic examination, tear film evaluation, ultrasound biomicroscopy (UBM), rheumatologic examination, and haematological screening. Results: A 30-year-old man with psoriatic arthritis and ulcerative rectocolitis showed an unusual bilateral ring keratopathy not responding to topical and oral anti-inflammatory treatment. UBM examination revealed the high reflectivity of lesions distributed in the anterior stroma. Conclusion: Although association with systemic autoimmune diseases together with the ring aspect could suggest the immunological origin of corneal lesions, degenerative keratopathy cannot be excluded because the poor response to therapy alongside the UBM findings.

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