Austin P, Green W R, Sallyer D C, Walsh F B, Kleinfelter H T
Am J Ophthalmol. 1978 Mar;85(3):311-7. doi: 10.1016/s0002-9394(14)77721-9.
A 61-year-old white woman, who had progressive arthritis over a two-year period, developed bilateral peripheral corneal degeneration. The superior cornea thinned to a thickness of approximately two thirds of normal. She died suddenly in the hospital and a primary occlusive vasculitis of the anterior ciliary arteries within the superior rectus muscles was found. There was necrotizing arteritis in the lungs, kidneys, adrenal caps, spleen, fallopian tubes, and skeletal muscle. The observation of an occlusive vasculitis of the anterior ciliary arteries in this patient supports the belief that ischemia may play a major role in peripheral marginal degeneration of the cornea.
一名61岁的白人女性，在两年时间里患有关节炎且病情逐渐加重，出现了双侧周边角膜变性。角膜上部变薄至正常厚度的大约三分之二。她在医院突然死亡，尸检发现上直肌内的睫状前动脉存在原发性闭塞性血管炎。肺部、肾脏、肾上腺被膜、脾脏、输卵管和骨骼肌有坏死性动脉炎。该患者睫状前动脉闭塞性血管炎的发现支持了这样一种观点，即缺血可能在角膜周边部变性中起主要作用。
