Peripheral ulcerative keratitis after clear corneal cataract extraction

Esen Karamursel Akpek, Anna Maria Demetriades, John D. Gottsch

Research output: Contribution to journalArticlepeer-review


A previously healthy 80-year-old man had uneventful clear corneal cataract extraction. An extensive peripheral corneal infiltrate with overlying epithelial defect at the incision site was noted at the regular follow-up visit 1 week after surgery. Corneal cultures showed no evidence of infectious kratitis. A systemic evaluation uncovered early-stage, active rheumatoid arthritis. This case illustrates that peripheral ulcerative keratitis may occur with a small clear corneal incision and may be the presenting sign of a previously indiagnosed rheumatoid disease. (C) 2000 ASCRS and ESCRS.

Original languageEnglish (US)
Pages (from-to)1424-1427
Number of pages4
JournalJournal of cataract and refractive surgery
Issue number9
StatePublished - Oct 17 2000

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology
  • Sensory Systems


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