Necrotising scleritis, keratitis and uveitis in primary antiphospholipid syndrome

Brijesh Takkar; Sudarshan Khokhar; Uma Kumar; Pradeep Venkatesh

doi:10.1136/bcr-2017-220647

Necrotising scleritis, keratitis and uveitis in primary antiphospholipid syndrome

BMJ Case Rep. 2018 May 14:2018:bcr2017220647. doi: 10.1136/bcr-2017-220647.

Authors

Brijesh Takkar¹, Sudarshan Khokhar¹, Uma Kumar², Pradeep Venkatesh¹

Affiliations

¹ Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India.
² Department of Rheumatology, All India Institute of Medical Sciences, New Delhi, Delhi, India.

Abstract

Ocular manifestations of antiphospholipid syndrome typically include thromboembolic and neuro-ophthalmic complications. In this report we present a case of inflammation of the ocular coats in a patient diagnosed with antiphospholipid syndrome 16 years prior. We discuss management of the case and the possible aetiology of the rare association.

Keywords: ophthalmology; rheumatology; vasculitis.

Publication types

Case Reports

MeSH terms

Administration, Oral
Administration, Topical
Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
Antiphospholipid Syndrome / complications*
Antiphospholipid Syndrome / drug therapy
Female
Humans
Indomethacin / administration & dosage
Keratitis / diagnosis
Keratitis / drug therapy
Keratitis / etiology*
Lubricant Eye Drops / administration & dosage
Middle Aged
Retinal Detachment / etiology
Scleritis / diagnostic imaging
Scleritis / drug therapy
Scleritis / etiology*
Steroids / administration & dosage
Ultrasonography
Uveitis, Anterior / diagnostic imaging
Uveitis, Anterior / drug therapy
Uveitis, Anterior / etiology*

Substances

Anti-Inflammatory Agents, Non-Steroidal
Lubricant Eye Drops
Steroids
Indomethacin