Bilateral infectious ulcers associated with atopic keratoconjunctivitis.

PURPOSE: A case of atopic keratoconjunctivitis complicated by bilateral infectious ulcers is described.

METHODS

Both eyes underwent complete ophthalmologic examination and in vivo confocal microscopy imaging by using the Heidelberg Retina Tomograph II Rostock-cornea-module (HRT II-RCM) and were photographed.

RESULTS

Topical antibiotics and corticosteroids associated with oral antibiotics and corticosteroids were given. After 4 weeks of treatment, the corneal lesions healed completely.

CONCLUSION

Bilateral infectious ulcers with perforation are a rare and severe complication of atopic keratoconjunctivitis. HRT II-RCM in vivo confocal microscopy imaging is useful in monitoring the progression of ocular surface diseases.