| CASE REPORT |
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| Year : 2023 | Volume
: 3
| Issue : 1 | Page : 52-54 |
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Bilateral peripheral ulcerative keratitis: A rare presentation of pediatric Behçet's disease
Sandhya Gaur1, Pooja Kumari1, Neiwete Lomi1, Ranjan Gupta2, Murugesan Vanathi1, Radhika Tandon1
1 Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
2 Department of Rheumatology, All India Institute of Medical Sciences, New Delhi, India
Correspondence Address:
Radhika Tandon
Room No. 490, 4th Floor, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, Delhi - 110 029
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_475_22
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A 13-year-old girl presenting with mucopurulent conjunctivitis (left > right) was diagnosed with Behçet's disease. Intraoperatively, the left eye had 360° culture-negative marginal corneal ulcer with scleral necrosis, managed with a scleral patch graft. Postoperatively, the right eye also developed a peripheral corneal lesion that resolved with immunosuppressants along with the skin lesions. Subsequently, wound gaping and uveal prolapse were noted in the left eye and was managed with a lamellar corneal graft and later with a corneoscleral patch graft. Following this, the patient improved very well in terms of visual acuity. Peripheral ulcerative keratitis can be a clinical presentation in pediatric Behçet's disease despite the unusual occurrence. Hence, any pediatric case with peripheral ulcerative keratitis should be thoroughly investigated for Behçet's disease, for which immunosuppressants may prove to be beneficial.
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