Author/Authors :
Chams, Hormoz Eye Research Center - Farabi Eye Hospital - Tehran University of Medical Sciences, Tehran , Asadi Amoli, Fahimeh Eye Research Center - Farabi Eye Hospital - Tehran University of Medical Sciences, Tehran , Shahram, Farhad Professor of Rheumatology - Rheumatology Research Center - Shariati Hospital - Tehran University of Medical Sciences, Tehran , Davatchi, Fereydoun Professor of Rheumatology - Rheumatology Research Center - Shariati Hospital - Tehran University of Medical Sciences, Tehran
Abstract :
Purpose: To present the conjunctival aphthous ulceration in Behçet’s disease (BD)
Case report: A 36-year-old woman with a known history of BD presenting an isolated,
monosymptomatic conjunctival bulbar aphthosis. The eye was photophobic and painful. The lesion
appeared four days prior to the consultation and measured 3.5 to 1.5 mm, which was totally
excised and underwent pathological investigations. The patient was treated with topical
chloramphenicol and oral colchicine.
Results: Histological examination revealed conjunctival ulceration with mono and polynuclear
infiltration in subepithelial stroma of conjunctiva, and invasion of polymorphonuclear cells in blood
vessel walls.
Conclusion: Ocular aphthosis, although very rare, but very typical can be helpful in the diagnosis of
BD.
