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

Megumi Shinzawa, Naoko Kato, Kozue Kasai, Kenji Konomi, Yuzhu Chai, Jun Shimazaki

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

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.

Original languageEnglish
Article numbere15658
JournalMedicine (United States)
Volume98
Issue number20
DOIs
Publication statusPublished - 2019 May 1
Externally publishedYes

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

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