This person presents with a foreign body sensation and photophobia. Why?
Analysis
In this image, there is evidence of a ciliary flush with engorgement of the perilimbal vessels. The peripheral cornea shows significant thinning which is confirmed on a corneal OCT. The patient was diagnosed with peripheral ulcerative keratitis (PUK).
In the accompanying 10 min. video featuring Dr. Ashley Brissette, assistant professor at Weill Cornell Medicine in New York, we will review:
- Which systemic conditions are associated with PUK
- The pathogenesis behind PUK
- How PUK is managed
Cornea Coach Tip
Patients presenting with PUK have a significantly higher 10-year mortality rate than age-matched controls.
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