A Case of Hypopyon Uveitis Associated With Relapsing Polychondritis.

Lim, Tae Hoon; Han, Jung Il

doi:2009.50.3.486

J Korean Ophthalmol Soc > Volume 50(3); 2009 > Article

Case Report

Journal of the Korean Ophthalmological Society 2009;50(3):486-490.
DOI: https://doi.org/10.3341/jkos.2009.50.3.486 Published online March 15, 2009.

A Case of Hypopyon Uveitis Associated With Relapsing Polychondritis.

Tae Hoon Lim, Jung Il Han

Myung-Gok Eye Research Institute, Department of Ophthalmology, Konyang University, Kim's Eye Hospital, Seoul, Korea. han66139@kimeye.com

재발성 다발연골염에 동반된 전방축농 포도막염 1예

임태훈ㆍ한정일

Myung-Gok Eye Research Institute, Department of Ophthalmology, Konyang University, Kim's Eye Hospital, Seoul, Korea

Abstract

PURPOSE
Relapsing polychondritis is an uncommon systemic autoimmune disorder which is characterized by recurrent and often progressive inflammatory episodes involving multiple organ systems, including the ophthalmic, otorhinolaryngeal, respiratory, musculoskeletal, renal, cardiovascular, and dermatologic systems. The most common ocular manifestations are episcleritis and scleritis. Uveitis, especially the nongranulomatous type, has been reported in 3% to 22% of relapsing polychondritis cases. We report uncommon hypopyon uveitis as an ophthalmic finding associated with relapsing polychondritis. CASE SUMMARY: A 56-year-old woman with known relapsing polychondritis presented with ocular pain and redness in the right eye which had developed two months before and was managed for scleritis. However, she developed blurred vision, and hypopyon and vitreous opacity was found. The patient presented to our clinic and we diagnosed her with hypopyon uveitis associated with relapsing polychondritis. The patient was started on systemic steroid therapy consisting of 1% prednisolone acetate, 0.5% moxifloxacin, and 0.5% tobramycin in the right eye. Hypopyon disappeared 8 days following the initiation of treatment, and all symptoms had resolved after 14 days.

Key Words: Hypopyon;Relapsing polychondritis;Uveitis