Peripheral ulcerative keratitis

Ulcerative keratitis is frequently associated with collagen vascular diseases and presents a predilection for peripheral corneal localization, due to the distinct morphologic and immunologic features of the limbal conjunctiva, which provides access for the circulating immune complexes to the peripheral cornea via the capillary network. Deposition of immune complexes in the terminal ends of limbal vessels initiates an immune-mediated vasculitis process, with inflammatory cells and mediators involvement by alteration of the vascular permeability. Peripheral ulcerative keratitis generally correlates with exacerbations of the background autoimmune systemic disease. Associated sceritis, specially the necrotizing form, is usually observed in severe cases, which may evolve in corneal perforation and loss of vision. Although the first-line of treatment in acute phases is represented by systemic administration of corticosteroids, immunosuppressive and cytotoxic agents are necessary for the treatment of peripheral ulcerative keratitis associated with systemic diseases.

Medienart:

Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:58

Enthalten in:

Oftalmologia (Bucharest, Romania : 1990) - 58(2014), 4 vom: 28., Seite 10-5

Sprache:

Rumänisch

Weiterer Titel:

KERATITA ULCERATIVĂ PERIFERICĂ

Beteiligte Personen:

Stamate, Alina-cristina [VerfasserIn]
Avram, Corina Ioana [VerfasserIn]
Malciolu, R [VerfasserIn]
Oprea, S [VerfasserIn]
Zemba, M [VerfasserIn]

Themen:

Anti-Bacterial Agents
Anti-Inflammatory Agents, Non-Steroidal
English Abstract
Glucocorticoids
Immunosuppressive Agents
Journal Article

Anmerkungen:

Date Completed 18.08.2015

Date Revised 29.06.2015

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM250374153