과호산구증후군에서 발생한 건성각결막염 1례

• 영문명: A Case of Keratoconjunctivitis Sicca Associated Idiopathic Hypereosinophilic Syndrome
• 발행기관: 대한안과학회
• 저자명: 신영주 김상진 위원량 장윤석,Young-Joo Shin, M.D.,,·Sang-Jin Kim, M.D.,·Won-Ryang Wee, M.D.,,·Yun-Suk Chang, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number8, 1401~1404쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.08.31

영문 초록

Purpose: To report a case of the keratoconjunctivitis sicca (KCS) associated idiopathic hypereosinophilic syndrome (IHES). Methods: We present a report and review of a 53-year-old man who suffered from IHES and KCS. The ocular examination showed conjunctival papillary hypertrophy, interpalpebral corneal and conjunctival punctate staining with fluorescein dye, and peripheral corneal neovascularization. His Schirmer I test results were nearly zero mm of wetting in both eyes. Impression cytology showed squamous metaplasia. Results: He had treated with low dose systemic steroid since October 2003. Because he showed a side effect of steroid induced myopathy, we could not increase the dosage. We added topical steroid (Pred Forte?), conservative free artificial tear and topical antibiotics, after which his ocular condition improved. Neovascularization was regressed, punctate staining decreased, and his visual acuity increased to 20/25 2 months later. Conclusions: This case demonstrates that the KCS can be associated with IHES and be treated with systemic and topical steroid.

키워드

Hypereosinophilic syndrome, Keratoconjunctivitis sicca