Korean J Dermatol.  2003 Sep;41(9):1253-1255.

A Case of Atopic Dermatitis Accompanied with Blindness in Ocular Complications

• Yeo KY
• Park JH
• Kim JS
• Ro YS

Abstract

Long-standing atopic dermatitis patients frequently predispose to ocular complications such as blepharitis, keratoconjunctivitis, uveitis, cataract, and retinal detachment. Among these, cataract and retinal detachment are the most serious complications that may cause visual disturbance. Glaucoma has not been reported as the complication of atopic dermatitis, but it is believed that long-term use of topical corticosteroid on face may cause glaucoma. A 26-year-old man presented with generalized severe atopic dermatitis and gradual loss of vision in both eyes. Because of eczema involving the skin of the face including the eyelids, he had been applying various topical corticosteroids since he was 4 years old. Eight years ago, cataracts developed on both eyes and extracapsular cataract extraction and intraocular lens implantation were done. Ophthalmologic examination revealed that his intraocular pressures were 46mmHg right and 38mmHg left, suggesting glaucoma. Three months following presentation, the patient became totally blind in both eyes.

Keyword

Atopic dermatitis; Ocular complication; Blind

MeSH Terms

Adrenal Cortex Hormones
Adult
Blepharitis
Blindness*
Cataract
Cataract Extraction
Child, Preschool
Dermatitis, Atopic*
Eczema
Eyelids
Glaucoma
Humans
Intraocular Pressure
Keratoconjunctivitis
Lens Implantation, Intraocular
Retinal Detachment
Skin
Uveitis
Adrenal Cortex Hormones