Relapsing Polychondritis

Rovenský, Jozef; Sedláčková, Marie

doi:10.1007/978-3-319-31169-2_10

Cited by 1 publication

(3 citation statements)

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“…Relapsing polychondritis mainly affects cartilaginous tissues and collagen-rich tissues. 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 Eyeballs are collagen-rich organs that are unavoidable sites of inflammation in patients with relapsing polychondritis, with the affected areas including the conjunctiva, sclera, cornea, uvea, retina, and optic nerve. Therefore, conjunctivitis, episcleritis or scleritis, keratitis, uveitis, and retinopathy are very common ocular manifestations in these patients.…”

Section: Discussionmentioning

confidence: 99%

“…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%

“…Relapsing polychondritis is an unusual multiorgan autoimmune disease characterized by recurrent inflammation and progressive destruction of cartilaginous structures and collagen-rich tissues, including the eyes, ears, nose, skin, renal, musculoskeletal, heart, and respiratory systems. 1 , 2 , 3 , 4 , 5 , 6 , 7 Ocular manifestations, including proptosis, eyelid edema, conjunctivitis, episcleritis, keratitis, uveitis, secondary open glaucoma, and retinopathy often occur in more than half of patients with relapsing polychondritis. 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 We experienced the case of a patient with relapsing polychondritis who presented with ocular complications, including conjunctivitis, episcleritis, keratouveitis, secondary angle closure glaucoma, and complicated cataract.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

“…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%

Section: Introductionmentioning

confidence: 99%

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Relapsing Polychondritis

Cited by 1 publication

References 15 publications

Surgical interventions for late ocular complications of relapsing polychondritis

Surgical interventions for late ocular complications of relapsing polychondritis

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