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Corneal perforation following maxillary sinusitis in a patient of rheumatoid arthritis Suketaka Kanazawa 1 , Akio Kinoshita 1 , Ryo Taniguchi 1 , Hirohiko Hayashida 1 , Takashi Kitaoka 1 , Tsugio Amemiya 1 pp.239-242
Published Date 2003/3/15
DOI https://doi.org/10.11477/mf.1410101129
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Abstract. A 58-year-old woman presented with hyperemia,discharge and blurred vision in her right eye. She had been diagnosed with chronic rheumatoid arthritis at the age of 27 years,and had been treated with systemic corticosteroid. She had been diagnosed with maxillary sinusitis and been given antibiotics since 10 weeks before. Her right eye showed peripheral thinning and corneal perforation with iris prolapse. Magnetic resonance imaging(MRI)showed inflammatory mass in the right maxillary sinus and defect in the orbital floor. Inflammatory process had extended to the intraorbital tissue. She was treated by additional systemic antibiotics,topical corticosteroid,and therapeutic contact lens. Lamellar keratoplasty was performed after surgery for maxillary sinusitis. Long-term presence of rheumatoid arthritis and maxillary sinusitis appear to have induced corneal perforation.


Copyright © 2003, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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