Ocular manifestations of relapsing polychondritis

Brink, H.; Rademakers, J; Verbeek, A. M.; Ede, A Van; Tilanus, S.

doi:10.1007/bf01204793

Cited by 20 publications

(8 citation statements)

References 32 publications

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“…However, hypopyon uveitis is an uncommon ocular involvement. 9,10 As far as we know, only four reports (five cases) have been published in the literature. [5][6][7][8] Genevois et al 5 and Lim and Han 6 published two RP cases with hypopyon uveitis.…”

Section: Discussionmentioning

confidence: 99%

A Rare Cause of Hypopyon Anterior Uveitis: Relapsing Polychondritis

et al. 2020

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Relapsing polychondritis (RP) is a rare, autoimmune, multisystemic disease with unknown etiology. It affects all types of cartilages and proteoglycan-rich structures. 1 The prominent manifestations of the disease are recurrent inflammatory involvements of eye, otorhinolaryngeal and bronchial cartilage, cardiovascular system, musculoskeletal structures, kidney, central nervous system and skin. 2 The most frequent presenting feature of the disease is auricular chondritis. 1

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Section: Discussionmentioning

confidence: 99%

A Rare Cause of Hypopyon Anterior Uveitis: Relapsing Polychondritis

et al. 2020

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“…Therefore, conjunctivitis, episcleritis or scleritis, keratitis, uveitis, and retinopathy are very common ocular manifestations in these patients. 2 , 3 , 4 , 5 , 6 , 7 , 8 , 14 , 15 …”

Section: Discussionmentioning

confidence: 99%

Surgical interventions for late ocular complications of relapsing polychondritis

Liu

et al. 2017

American Journal of Ophthalmology Case Reports

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PurposeTo report a case of surgical interventions for a patient with relapsing polychondritis who presented with late ocular complications.ObservationsA 44-year-old male was diagnosed to have relapsing polychondritis on the basis of recurrent acute auricular chondritis, deformity of the ear, saddle nose deformity and painful nasal chondritis, acute ocular inflammation with conjunctivitis, episcleritis and keratouveitis, laryngotracheal chondritis, erythema nodosum in the skin, a history of polyarthritis, and abnormal blood examination findings. The acute ocular and auricular inflammation was resolved with oral corticosteroid treatment. Intraocular pressure (IOP) of the left eye was 60 mmHg as measured by Goldmann applanation tonometer. Gonioscopic observation revealed the presence of peripheral anterior synechiae and plateau iris configuration. Express drainage screw implantation was applied to the left eye, because topical and systemic medicines failed to decrease the IOP. After 12 months, complicated cataract aggravated in the right eye, and phacoemulsification operation was performed with corticosteroids administered during the perioperative period. His corrected visual acuity was 20/20 for the right eye, and the IOP remained below 21 mmHg for the left eye. The patient has been healthy, without any recurrence, for 36 months.Conclusions and importanceThe present case of relapsing polychondritis is the first to be reported wherein late ocular complications were alleviated by surgical interventions. Routine use of corticosteroids is necessary for successful anti-glaucoma and phacoemulsification operations.

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“…They are found in 50% to 70% of patients and may be the presenting symptom in as many as one third of patients (3)(4)(5). They are correlated with disease activity and usually occur in conjunction with systemic disease (9,10). Common ocular manifestations include episcleritis or scleritis, keratitis and keratoconjunctivitis sicca (11,12).…”

Section: Discussionmentioning

confidence: 99%

Recurrent Anterior Uveitis with Hypopyon Revealing Relapsing Polychondritis

et al. 2012

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Relapsing polychondritis (RP) is a rare disease involving cartilaginous structures, predominantly the ears, nose and laryngotracheobronchial tree. The eyes, cardiovascular system, peripheral joints, skin, and central nervous system may also be affected. Involvement of all ocular structures has been described. Nongranulomatous uveitis is a common feature; however hypopyon is uncommon. We herein present the case of a 42-year-old man who had been diagnosed with bronchial asthma for a long period; and who presented with recurrent hypopyon uveitis as a revealing manifestation of relapsing polychondritis. We emphasize that RP should therefore be considered in the differential diagnosis of sterile hypopyon uveitis.

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Ocular manifestations of relapsing polychondritis

Cited by 20 publications

References 32 publications

A Rare Cause of Hypopyon Anterior Uveitis: Relapsing Polychondritis

A Rare Cause of Hypopyon Anterior Uveitis: Relapsing Polychondritis

Surgical interventions for late ocular complications of relapsing polychondritis

Recurrent Anterior Uveitis with Hypopyon Revealing Relapsing Polychondritis

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