Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature
Elias Chelala, Hala El Rami, Ali Dirani, Henry Fakhoury, Ali Fadlallah Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon Background: Superior limbic keratoconjunctivitis (SLK) is characterized as an inflammation of the superior bulbar conjunctiva with predominant involvement of the su...
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Dove Medical Press
2015
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oai:doaj.org-article:74d1bdb783f245bfaadd695b7507f7d52021-12-02T04:12:11ZExtensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature1177-5483https://doaj.org/article/74d1bdb783f245bfaadd695b7507f7d52015-03-01T00:00:00Zhttp://www.dovepress.com/extensive-superior-limbic-keratoconjunctivitis-innbspgravesrsquo-disea-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Elias Chelala, Hala El Rami, Ali Dirani, Henry Fakhoury, Ali Fadlallah Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon Background: Superior limbic keratoconjunctivitis (SLK) is characterized as an inflammation of the superior bulbar conjunctiva with predominant involvement of the superior limbus and adjacent epithelial keratitis.Methods: A 51-year-old woman, with a history of medically controlled Graves’ disease was seen with an extensive SLK involving 5 mm of the superior cornea.Results: Total remission was observed with topical steroids (DXM). Recurrence was observed 1 week after steroid discontinuation, and steroidal treatment was reintroduced with tapering over 1 month. Total remission was then observed for 1 year. Conclusion: Extensive keratitis and vascular pannus in SLK is rarely reported. This form could be treated with topical steroids. Tapering treatment remains essential for long-term success. Keywords: superior limbic keratoconjunctivitis, anti-inflammatory drugs, dexamethasone, triamcinolone, Graves’ diseaseChelala EEl Rami HDirani AFakhoury HFadlallah ADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 467-468 (2015) |
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DOAJ |
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DOAJ |
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EN |
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Ophthalmology RE1-994 |
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Ophthalmology RE1-994 Chelala E El Rami H Dirani A Fakhoury H Fadlallah A Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature |
| description |
Elias Chelala, Hala El Rami, Ali Dirani, Henry Fakhoury, Ali Fadlallah Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon Background: Superior limbic keratoconjunctivitis (SLK) is characterized as an inflammation of the superior bulbar conjunctiva with predominant involvement of the superior limbus and adjacent epithelial keratitis.Methods: A 51-year-old woman, with a history of medically controlled Graves’ disease was seen with an extensive SLK involving 5 mm of the superior cornea.Results: Total remission was observed with topical steroids (DXM). Recurrence was observed 1 week after steroid discontinuation, and steroidal treatment was reintroduced with tapering over 1 month. Total remission was then observed for 1 year. Conclusion: Extensive keratitis and vascular pannus in SLK is rarely reported. This form could be treated with topical steroids. Tapering treatment remains essential for long-term success. Keywords: superior limbic keratoconjunctivitis, anti-inflammatory drugs, dexamethasone, triamcinolone, Graves’ disease |
| format |
article |
| author |
Chelala E El Rami H Dirani A Fakhoury H Fadlallah A |
| author_facet |
Chelala E El Rami H Dirani A Fakhoury H Fadlallah A |
| author_sort |
Chelala E |
| title |
Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature |
| title_short |
Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature |
| title_full |
Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature |
| title_fullStr |
Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature |
| title_full_unstemmed |
Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature |
| title_sort |
extensive superior limbic keratoconjunctivitis in graves’ disease: case report and mini-review of the literature |
| publisher |
Dove Medical Press |
| publishDate |
2015 |
| url |
https://doaj.org/article/74d1bdb783f245bfaadd695b7507f7d5 |
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