Transient band keratopathy associated with ocular inflammation and systemic hypercalcemia

Abstract

PURPOSE To report a case of visually significant band keratopathy associated with ocular inflammation and systemic hypercalcemia which markedly decreased in severity after treatment of these underlying factors. METHODS Retrospective case report. RESULTS A 53-year-old Asian female with granulomatous panuveitis in the left eye presented with diffuse band keratopathy through the central cornea. The serum calcium was elevated. The patient was treated with topical prednisolone acetate 1% and oral prednisone with marked improvement in inflammation. The band keratopathy lessened in severity with clearing of the central cornea and improvement in visual acuity. CONCLUSIONS Early medical treatment of underlying factors may allow reversal of band keratopathy.