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Fuchs superficial marginal keratitis

Fuchs superficial marginal keratitis

Autores:

Clebert Reinaldo da Silva,
Vera Lúcia D. M. Mascaro,
Isaac Neustein

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

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

Arq. Bras. Oftalmol. vol.62 no.3 São Paulo jun. 1999

http://dx.doi.org/10.5935/0004-2749.19990021

SUMMARY

The purpose of this study is point out the existence of this unusual disease that may lead to ocular perforation and make a bibliographic review about it.

One case of Fuchs' superficial marginal keratitis, an uncommon disease, of unknown etiology, usually bilateral that affects young and middle-aged adults was studied. This entity has a chronic course, marked by recurrent bouts of ocular pain and injections asssociated with marginal corneal infiltrate that surround peripheral cornea. After remission of the process a corneal thinning, mildly opacified, superficially vascularizated and with larges pseudopterygium develops. Good visual acuity is generally maintained because the central cornea is spared.

The various causes of marginal keratitis include Terrien's marginal degeneration, Mooren's ulcer, infections, hipersensi-tivity to bacterial products, trachoma and systemic illnesses. All of these diseases were excluded clinical and/or laboratorially.

Keywords: Cornea; Keratitis

REFERÊNCIAS

1 Duke-Elder S, Leigh AG. Disease of the outer eye. ln: S Duke-Elder, eds. System of Ophthalmology. London, Kimpton, 1965; v.8, part 2, cap.6.
2 Ostler HB, Ostler MW. Diseases of the External Eye, Adnexa: A Text and Atlas. Baltimore, Williams Wilkins 1993;231.
3 Kenyon KR, Hersh PS, Starck T, Fogle JA. Corneal Dysgeneses, Dystrophies, Degenerations. ln: Tasman W, Jaeger EA, eds. Duane's Clinical Ophthalmology Philadelphia, JB Lippincott, 1994; v.4, cap.16.
4 Ellis OH. Superficial marginal keratitis. Am J Ophthalmol 1939;22:161.
5 Bierly JR, Dunn JP, Dawson CR, Ostler HB, Wong IG. Fuchs superficial margina' keratitis. Am J Ophthalmol 1992;113:541-5.
6 Goldberg MA, Lubniewski AJ, Williams JM, Smith ME, Pepose JS. Cystic hydrops and spontaneous perforation in Fuchs superficial marginal keratitis. Am J Ophthalmol 1996;112:91-3.
7 Smolin G. Corneal dystrophies and degenerations. ln: Smolin G, Thoft RA, eds. The Cornea: Scientific foundations and clinical practice. 3rd ed. Boston, Little Brown, 1994.
8 Austin P, Brown SI. Inflammatory Terrien's Marginal Corneal Disease. Am J Ophthalmol 1981;189-92.
9 Messmer EM, Foster CS. Destructive Corneal and Scleral Disease Associated with Rheumatoid arthritis. Cornea 1995;14:408-17.
10 Foster CS. Non-rheumatoide Acquired Collagen Vascular Disease. In: Smolin G, Thoft RA, eds. The Cornea Scientific Foundations and Clinical Practice. 3rd ed. Boston, Little Brown, 1994.