A Case of Atopic Dermatitis Accompanied with Blindness in Ocular Complications.
- Author:
Kwang Yeoll YEO
1
;
Jung Hwan PARK
;
Jeong Soo KIM
;
Young Suck RO
Author Information
1. Department of Dermatology, Hanyang University College of Medicine, Seoul, Korea. romio@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Atopic dermatitis;
Ocular complication;
Blind
- MeSH:
Adrenal Cortex Hormones;
Adult;
Blepharitis;
Blindness*;
Cataract;
Cataract Extraction;
Child, Preschool;
Dermatitis, Atopic*;
Eczema;
Eyelids;
Glaucoma;
Humans;
Intraocular Pressure;
Keratoconjunctivitis;
Lens Implantation, Intraocular;
Retinal Detachment;
Skin;
Uveitis
- From:Korean Journal of Dermatology
2003;41(9):1253-1255
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Long-standing atopic dermatitis patients frequently predispose to ocular complications such as blepharitis, keratoconjunctivitis, uveitis, cataract, and retinal detachment. Among these, cataract and retinal detachment are the most serious complications that may cause visual disturbance. Glaucoma has not been reported as the complication of atopic dermatitis, but it is believed that long-term use of topical corticosteroid on face may cause glaucoma. A 26-year-old man presented with generalized severe atopic dermatitis and gradual loss of vision in both eyes. Because of eczema involving the skin of the face including the eyelids, he had been applying various topical corticosteroids since he was 4 years old. Eight years ago, cataracts developed on both eyes and extracapsular cataract extraction and intraocular lens implantation were done. Ophthalmologic examination revealed that his intraocular pressures were 46mmHg right and 38mmHg left, suggesting glaucoma. Three months following presentation, the patient became totally blind in both eyes.