Uniteral Interstisial Keratitis Caused by Systemic Lupus Erythematosus

Purpose: To report a case of rare and unusual interstitial keratitis (kerato endothelitis) in a 46-year-old man with systemic lupus erythematosus (SLE). Methods: Images were obtained using biomicroscope photography, and direct photography. Results: The patient had a history of SLE and corneal opacification, decrease of visual acuity during three days in his right eye. Biomicroscopic examination was revealed a corneal opacification in superotemporal area. There was also an increase of corneal thickness at the area. In addition there were a few discoid erythematos lesions in his noise, ear and face. Conclusion: Interstitial keratitis (kerato endothelitis) is uncommon and immune complex accumulation may a role in the pathogenesis of the corneal lesions of SLE. It must be recognized as a definite clinical entity. Its prompt recognition and treatment with corticosteroids may quickly bring about improvement, whereas if it is unrecognized, corneal scarring and loss of vision may follow