Effective treatment with topical cyclosporin A of a patient with Cogan syndrome.

Abstract

The purpose of this report is to describe the effective treatment of severe anterior segment inflammation due to Cogan syndrome through the use of topical administration of cyclosporin A. A 47-year-old female patient had been experiencing headaches and difficulties with her vision. Subsequent examination revealed the sudden onset of bilateral conjunctival injection and swelling of bilateral auricles. Despite the multiple treatment (systemic and topical corticosteroid and antibiotic therapy), necrotizing scleritis had appeared bilaterally and the scleral wall was thinning. Topical administration of 1% cyclosporin A was applied to both eyes 4 times a day. After 2 months of this therapy, the epithelial tissue covered the necrotizing tissue and her symptom of ocular pain was relieved and her corrected visual acuity was improved. This is the first case exhibiting that topical cyclosporin A is an effective treatment for severe anterior segment inflammation associated with Cogan syndrome.

• Authors: M Shimura, K Yasuda, N Fuse, M Nakazawa, M Tamai
• Journal: Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde (Ophthalmologica) Vol. 214 Issue 6 Pg. 429-32 ( 2000) ISSN: 0030-3755 [Print] Switzerland
• PMID: 11054005 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright 2000 S. Karger AG, Basel.

Chemical References

• Immunosuppressive Agents
• Ophthalmic Solutions
• Cyclosporine

Topics

• Administration, Topical
• Conjunctivitis (complications, drug therapy)
• Cyclosporine (administration & dosage, therapeutic use)
• Female
• Hearing Loss, Bilateral (complications, drug therapy)
• Humans
• Immunosuppressive Agents (administration & dosage, therapeutic use)
• Iridocyclitis (complications, drug therapy)
• Middle Aged
• Ophthalmic Solutions (administration & dosage, therapeutic use)
• Scleritis (complications, drug therapy)
• Syndrome
• Visual Acuity