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[Peripheral ulcerative keratitis associated with dupilumab: a case report]. | LitMetric

[Peripheral ulcerative keratitis associated with dupilumab: a case report].

Zhonghua Yan Ke Za Zhi

Department of Ophthalmology,Beijing Hospital, National Center of Gerontology Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing100730,China.

Published: January 2025

AI Article Synopsis

  • A 68-year-old male experienced irritation in both eyes, including symptoms like photophobia and tearing, after starting dupilumab for severe atopic dermatitis.
  • He had a specific corneal ulcer in the right eye and a pannus in the left eye, but tests ruled out infections.
  • Treatment with eye drops led to significant improvement, and follow-up revealed healing of the corneal lesions and improved vision.

Article Abstract

A 68-year-old male developed foreign body sensation in both eyes, photophobia and tearing in the right eye approximately 6 weeks after initiating dupilumab for severe atopic dermatitis. The right eye presented a crescent-shaped superficial-stromal ulcer in the peripheral cornea with an undermined edge, which was separated from the limbus of the cornea by a clear zone. The left eye had a pannus at the limbus of the cornea. Corneal scraping, bacterial culture, and fungal culture excluded infections. The patient was administered 0.1% fluorometholone eye drops and recombinant bovine basic fibroblast growth factor eye drops. The patient's condition continued to improve during the follow-up period. At the revisit 82 days after the initial diagnosis, the corneal lesions of the right eye were basically healed, and the corrected visual acuity increased from 0.5 to 1.0.

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Source
http://dx.doi.org/10.3760/cma.j.cn112142-20240403-00157DOI Listing

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