Corneal cross-linking for keratoconus caused by compulsive eye rubbing in patients with Tourette syndrome Three case reports

被引：10

作者：

Shinzawa, Megumi ^{[1
,2
]}

Kato, Naoko ^{[1
,2
]}

Kasai, Kozue ^{[1
]}

Konomi, Kenji ^{[1
]}

Chai, Yuzhu ^{[3
]}

Shimazaki, Jun ^{[1
]}

机构：

[1] Ichikawa Gen Hosp, Tokyo Dent Coll, Dept Ophthalmol, Sugano 5-11-13, Ichikawa, Chiba, Japan

[2] Keio Univ, Sch Med, Dept Ophthalmol, Tokyo, Japan

[3] Kohnodai Hosp, Natl Ctr Global Heal Th & Med, Dept Ophthalmol, Chiba, Japan

来源：

MEDICINE | 2019年 / 98卷 / 20期

关键词：

corneal cross-linking; eye rubbing; keratoconus; progression; Tourette syndrome;

D O I：

10.1097/MD.0000000000015658

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Rationale: Eye rubbing is an important risk factor for keratoconus progression. Tourette syndrome (TS) is a neurological disorder, and approximately 50% of individuals with TS exhibit obsessive-compulsive behaviors including eye rubbing. We report the effects of corneal cross-linking (CXL) on the progression of keratoconus combined with psychiatric treatment for 3 patients with TS. Patients' concerns: Three cases, 24-year-old male, 14-year-old male, and 17-year-old male, were all referred to our institute, due to decreased visual acuity. Diagnosis: All 3 patients were diagnosed with progressive keratoconus. They were found to rub their eyes, and were also diagnosed with TS by psychiatrists. Intervention: Upon diagnosis of keratoconus, we performed CXL on 1 eye of each patient. Outcomes: After CXL, there was no further progression. Psychiatric medication was also required. Lessons: For patients with keratoconus caused by eye rubbing due to TS, CXL seems to be effective when done in association with psychiatric treatment.

引用

页数：7