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Published in: BMC Ophthalmology 1/2016

Open Access 01-12-2016 | Case report

Intravitreal dexamethasone implants for the treatment of refractory scleritis combined with uveitis in adult-onset Still’s disease: a case report

Authors: Seong Joon Ahn, Sun Jin Hwang, Byung Ro Lee

Published in: BMC Ophthalmology | Issue 1/2016

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Abstract

Background

Adult-onset Still’s disease is a systemic inflammatory disease which presents with uveitis and scleritis in the eye. Intravitreal dexamethasone implants are used for the treatment of refractory uveitis.

Case presentation

A 19-year-old woman diagnosed to have adult-onset Still’s disease for fevers, joint pain, and a salmon-colored bumpy rash presented with scleritis and uveitis in the left eye. Topical and systemic steroids with oral methotrexate failed to control the inflammation. We performed intravitreal injections of dexamethasone implants for side effects of steroid and refractory ocular inflammation. The therapy resulted in improvements in the patient’s uveitis with reductions in scleral vessel engorgement and redness. There was no recurrence of uveitis or scleritis during 4 months following treatment.

Conclusions

Intravitreal injections of dexamethasone implants may result in clinical improvements of refractory scleritis combined with uveitis.
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Metadata
Title
Intravitreal dexamethasone implants for the treatment of refractory scleritis combined with uveitis in adult-onset Still’s disease: a case report
Authors
Seong Joon Ahn
Sun Jin Hwang
Byung Ro Lee
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2016
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-016-0380-4

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