BILATERAL PERIPHERIC ULCERATIVE KERATITIS AFTER SIMPLE LIMBAL EPITHELIAL TRANSPLANTATION SURGERY IN PSEURIATIC PATIENT
Published 2025 - 29th ESCRS Winter Meeting
Reference: CR01.01 | Type: Case Report (Cornea Day) | DOI: 10.82333/tpdz-eb78
Authors: BETÜL İLKAY İLKAY SEZGİN AKÇAY* 1 , ASLIHAN DOĞAN DURSUN 2 , ALEV KOÇKAR 3
1ophthalmology clinic ,umraniye reseach and training hospital ,istanbul,Türkiye, 2ophthalmology clinic ,umraniye reseach and training hospital ,istanbul ,Türkiye, 3ophthalmology clinic ,umraniye reseach and training hospital ,turkey ,Türkiye
Purpose
to report a case of bilateral peripheric ulcerative keratitis (PUK) after simple limbal epithelial transplantation surgery (SLET) in a patient with pseuriasis.
Setting
umraniye research and training hospital , ophthalmology clinic
Report of case
A 55 year old male patient presented with 180 degree corneal conjunktivalization secondary to alkali burn in right eye . SLET had been done to patient. In 3 rd day of surgery , peripheric corneal infiltrates was seen under amniotic membrane . Same day amniotic membrane was removed culture was taken from the infiltrate area . Infiltrates spread circumferencially in peripheric cornea , confocal microscopy revealed fungal hyphae. Both PUK and antifungal treatment applied to patient , 22 day after surgery cornea totally epithelized and infiltrates healed with peripheric corneal haze. One month after surgery patient presented with tearing and secretion in left eye. Biomicroscopic examination revealed peripheric ulcerative keratitis in left eye. Systemic steroid , antibiotic and artificial tear treatment applied and keratitis healed with peripheric corneal scarring .
Conclusion / Take home message
Herein we represent a previously undocumented association of bilateral PUK after SLET surgery in a patient with pseuriasis. Ulcerative keratitis in pseuriasis is a rare variant of psoriatic ocular inflammatory disease.