Bilateral Peripheral Ulcerative Keratitis Reveals Rheumatoid Arthritis: A Case Report

Abstract

Central aseptic keratolysis is presented as a rare but serious complication, requiring urgent diagnosis and treatment. This is a 56-year-old woman with bilateral eye pain, photophobia and tearing, who was eventually diagnosed with rheumatoid arthritis associated with secondary Gougerot-Sjögren's syndrome. Peripheral ulcerative keratitis (PUK) is discussed in association with immune-mediated systemic diseases such as rheumatoid arthritis, highlighting its rarity and severity, particularly when it causes corneal ulcers. Emphasis is placed on regular ophthalmological assessments for early detection of ocular complications, and collaboration between rheumatologists and ophthalmologists is highlighted for optimal management. we stress the importance of timely consultation and collaboration between medical specialties to address the rarity and severity of sterile corneal ulcers in rheumatoid arthritis, to ensure appropriate management and prevention of visual impairment.