Corneal perforation following maxillary sinusitis in a patient of rheumatoid arthritis.

Accession number;03A0266041
Title;Corneal perforation following maxillary sinusitis in a patient of rheumatoid arthritis.
Author; KANAZAWA SUKETAKA (Nagasakidai Daigakuin'ishiyakugakusogokagakukenkyuka Gankagakushikakukagaku) KINOSHITA AKIO (Nagasakidai Daigakuin'ishiyakugakusogokagakukenkyuka Gankagakushikakukagaku) TANIGUCHI RYO (Nagasakidai Daigakuin'ishiyakugakusogokagakukenkyuka Gankagakushikakukagaku) HAYASHIDA HIROHIKO (Nagasakidai Daigakuin'ishiyakugakusogokagakukenkyuka Gankagakushikakukagaku) KITAOKA TAKASHI (Nagasakidai Daigakuin'ishiyakugakusogokagakukenkyuka Gankagakushikakukagaku) AMEMIYA TSUGIO (Nagasakidai Daigakuin'ishiyakugakusogokagakukenkyuka Gankagakushikakukagaku)
Journal Title;Japanese Journal of Clinical Ophthalmology
Journal Code:Z0515B
ISSN:0370-5579
VOL.57;NO.3;PAGE.239-242(2003)
Figure&Table&Reference;FIG.3, REF.12
Pub. Country;Japan
Language;Japanese
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 cortico-steroid. 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 con-tact lens. Lamellar keratoplasty was performed after surgery for maxillary sinusitis. Long-term presence of rheuma-toid arthritis and maxillary sinusitis appear to have induced corneal perforation. (author abst.)