A Case of Conjunctival Lithiasis with Clinical Manifestations of Superior Limbic Keratoconjunctivitis
Journal of the Korean Ophthalmological Society
; : 983-987, 2016.
Article
in Ko
| WPRIM
| ID: wpr-90328
Responsible library:
WPRO
ABSTRACT
PURPOSE: To report a case of conjunctival lithiasis with clinical manifestations of superior limbic keratoconjunctivitis. CASE SUMMARY: A 40-year-old male complained of pain, foreign body sensation and injection in the left eye lasting 1 month. The slit-lamp examination revealed injection of the superior bulbar conjunctiva, linear corneal band opacity, fine punctate staining and epithelial defect in the superior cornea area. After eversion of the left upper eyelid, there were many various-sized conjunctional concretions and inflammation in the superior tarsal conjunctiva. Therefore, we considered conjunctival lithiasis-induced clinical manifestations of superior limbic keratoconjunctivitis and then removed the conjunctival concretions using a 30-gauge needle. After the procedures, artificial tears, antibiotic eye drops, steroid eye drops and a therapeutic contact lens were applied. After 1 week, all symptoms and signs improved and there was no recurrence for 4 months. CONCLUSIONS: Mechanical stimulation by severe conjunctival lithiasis can induce clinical manifestations of superior limbic keratoconjunctivitis. Therefore, in patients with clinical manifestations of superior limbic keratoconjunctivitis, conjunctival lithiasis should be considered by observing the superior tarsal conjunctiva more closely.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Ophthalmic Solutions
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Recurrence
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Sensation
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Conjunctiva
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Cornea
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Lithiasis
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Eyelids
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Lubricant Eye Drops
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Foreign Bodies
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Inflammation
Limits:
Adult
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Humans
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Male
Language:
Ko
Journal:
Journal of the Korean Ophthalmological Society
Year:
2016
Type:
Article