Ceratite ulcerativa periférica após cirurgia de catarata em artrite reumatóide

Ceratite ulcerativa periférica após cirurgia de catarata em artrite reumatóide


Maria Carmen Menezes Santos,
Renato Augusto Neves


Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.60 no.1 São Paulo fev. 1997


Peripheral ulcerative keratitis and necrotizing scleritis are reported after ocular trauma or surgery. We report a case of a Rheumatoid Arthritis patient that presented with a progressive marginal furrow after extracapsular cataract extraction. The treatment included conjuntival resection and organic glue, colagenase inhibitors, bandage contact tens and systemic immunosupression. Peripheral ulcerative keratitis can be the initial or a late manifestation of Rheumatoid Arthritis, a vascular systemic disease with a death potential that require an adequade approach of these patients.

Key Words: peripheral ulcerative keratitis; Rheumatoid Arthritis; cataract surgery


1 DE LA MAZA, M. S.; FOSTER, C. S. - Necrotizing scleritis after ocular surgey. Ophthalmology 98: 1720, 1991.
2 ARNETT, F. C.; EDWORTHY, S. M.; BLOCH, D. A. et al. - The American Rheumatism Association revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 31: 315, 1988.
3 THOMPSON, M.; EADIE, S. - Keratoconjuntivitis sicca and rheumatoid arthritis. Ann. Rheum Dis. 5: 21, 1971.
4 FOSTER, C. S.; FORSTOT, S. L.; WILSON, L. A. - Mortality rate in rheumatoid arthritis patients developing necrotizing scleritis or peripheral ulcerative keratitis. Ophthalmology 91: 1253, 1984.
5 FOSTER, C. S. - Immunosupressive therapy for external ocular inflamatory disease. Ophthalmology 87: 140, 1980.
6 DE LA MAZA, M. S.; TAUBER, J. FOSTER, C. S. - Scleral grafting necrotizing scleritis. Ophthalmology 96: 306, 1989.
7 DAYER, J-M; RUSSEL, R. G. G.; KRANE, S. M. - Collagenase production by rheumatoid synovial cells: Stimulation by a human lymphocyte factor. Science 195: 181, 1977.
8 FINI, M. E. - Non-coordinate regulation of the expression of secreted metallaproteases in corneal epitelial/stromal fibroblasts. Invest. Ophthalmol. Vis Sci. 30 (ARVO Suppl): 423, 1989.
9 JAYSON, M. I.; JONES, DE. - Scleritis and rheumatoid arthritis. Ann Rheum. Dis., 30: 343, 1971.
10 WILLIAMS Jr., R. C. - Adult and juvenile rheumatoid arthritis. In: Parker CW, ed. Clinical Immunology. Philadelphia: WB Saunders, 713, 1980.
11 WATSON, P. G.; HAYREH, S. S. - Scleritis and episcleritis. Br. J. Opthalmol., 60: 163, 1976.