PMC9686418_01
(A) Slit lamp reveals corneal ulcer was noted at 9 to 3 o'clock position in the right eye. (B) Conjunctival congestion and peripheral ulcerative keratitis in the left eye. (C) Nodular episcleritis appeared in the right eye. (D) 360-degree ring ulcer in the left eye.
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A crescent-shaped marginal corneal ulcer was noted from the 9 to 3 o'clock position on the right eye ( Figure 1A ). Slit-lamp examination showed a newly emerged conjunctival congestion and peripheral ulcerative keratitis was observed in the left eye ( Figure 1B ). Nodular episcleritis appeared in the right eye ( Figures 1C, D ).
(A) The conjunctival biopsy of the right eye revealed vascular proliferation, telangiectasis, perivascular lymphocytes and plasma cells infiltration. (B) Hands and wrists X-rays with no evidence of bony erosion. (C) Chest CT showed multiple nodules in the inferior lobe of both lungs.
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The conjunctival biopsy of the right eye revealed vascular proliferation, telangiectasis, perivascular lymphocytes and plasma cells infiltration ( Figure 2A ). No obvious abnormality was found in joint X-rays on both hands and wrists ( Figure 2B ). Chest CT showed multiple nodules in the inferior lobes of both lungs ( Figure 2C ).
Corneal ulcers almost healed up in both eyes (A right eye, B left eye). the superior two-thirds of the cornea was covered by neovascularization and necrotic tissue in the right eye (C right eye). Corneal ulceration was observed throughout the cornea except for the central cornea (D left eye).
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At the 2-month follow-up visit, corneal ulcers almost healed up in both eyes ( Figures 3A, B ). Slit-lamp examination showed that the superior two-thirds of the cornea was covered by neovascularization and necrotic tissue in the right eye, and corneal ulceration was observed throughout the cornea except for the central cornea in the left eye ( Figures 3C, D ).
Timeline of the case report.
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She was suffered from the loss of vision and under great pressure of huge medical fees.  Figure 4  was showcasing a timeline with relevant data from the episode of care.