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Cornea. 1999 Nov;18(6):729-30.

Superficial punctate keratitis of thygeson: the longest course on record?

Author information

1
Cornea Service, Doheny Eye Institute, University of Southern California, Los Angeles, USA.

Abstract

PURPOSE:

To report the extended clinical course of a case of superficial punctate keratitis of Thygeson.

METHODS:

A 59-year-old woman with a 40-year history of superficial punctate keratitis of Thygeson is presented, providing a forum to discuss the chronicity of the disease, its treatment, and the potential complications.

RESULTS:

Our patient has been treated over the years with mild topical corticosteroids, usually with favorable results. Given the chronicity of superficial punctate keratitis of Thygeson, long-term treatment with topical corticosteroids carries the possible side effects of iatrogenic cataract formation and steroid-induced glaucoma, neither of which was seen in our patient.

CONCLUSIONS:

Superficial punctate keratitis of Thygeson is usually a benign, self-limited disease with exacerbations and remissions. Ophthalmologists must exercise care when using long-term corticosteroid treatment in this condition.

PMID:
10571306
[Indexed for MEDLINE]

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