Annals of Optometry and Contact Lens 2015;14(4):204-208.
Published online December 25, 2015.
A Case of Peripheral Corneal Ulcer in a Patient with Rheumatoid Arthritis after Cataract Extraction
Do Wook Kim, Ji Won Jung, Hyung Keun Lee, Kyoung Yul Seo, Eung Kweon Kim, Tae Im Kim
The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine1, Seoul, KoreaDepartment of Ophthalmology, Inha University School of Medicine2, Incheon, Korea
Received: 20 August 2015   • Revised: 7 October 2015   • Accepted: 7 October 2015
Purpose: To report a case of unilateral peripheral corneal ulcer after cataract extraction in a patient with rheumatoid arthritis.
Case summary: A 57-year-old woman who had been taking immune modulating medication since being diagnosed with rheumatoidarthritis previously presented with a chief complaint of visual disturbance and ocular pain 4 days after cataract extraction was performed on her left eye. Slit lamp examination showed a peripheral corneal ulcer around the nasal cataract incision site. Systemic administration of steroid agents for three days reduced the corneal lesion, and then the oral steroid was tapered. However, the peripheral corneal ulcer was found to be aggravated several days later, and oral cyclosporine was added as an immune modulating treatment. After 2 weeks of treatment, thinning of the cornea and the peripheral corneal ulcer stopped and corneal re-epithelialization was found.
Conclusions: Treatment with steroids and immune modulating agents may be effective in the management of peripheral corneal ulcers after cataract extraction surgery in patients with rheumatoid arthritis.
Key Words: Cataract extraction, Corneal ulcer, Cyclosporine, Rheumatoid arthritis

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