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

Masahiko Shimura, Kanako Yasuda, Nobuo Fuse, Mitsuru Nakazawa, Makoto Tamai

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)

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. Copyright (C) 2000 S. Karger AG, Basel.

Original languageEnglish
Pages (from-to)429-432
Number of pages4
JournalOphthalmologica
Volume214
Issue number6
DOIs
Publication statusPublished - 2000

Keywords

  • Cogan syndrome
  • Cyclosporin A
  • Deafness
  • Scleritis, bilateral

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems

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