Ramirez Marquez Estefania, Santiago Alejandra, Santos Carmen, Oliver Armando L
Ophthalmology, University of Puerto Rico School of Medicine, Medical Sciences Campus, San Juan, USA.
Cureus. 2023 Aug 14;15(8):e43467. doi: 10.7759/cureus.43467. eCollection 2023 Aug.
We report on a case of West Indian (Caribbean) punctate keratopathy (WIPK) in a pediatric patient living in Puerto Rico, USA. A 9-year-old Hispanic girl presented for a routine ophthalmic follow-up. The patient had a history of juvenile idiopathic arthritis and chronic bilateral anterior uveitis. At the presentation, her visual acuity was 20/30 in the right eye and 20/20 in the left eye. An examination of the right eye was remarkable for one round, white subepithelial corneal opacity of approximately 0.1 mm in height by 0.1 mm in width, located slightly lateral to the center of the cornea, which was consistent with WIPK. This case highlights the importance of recognizing WIPK in children who have a history of living on any one or more of the Caribbean islands.
我们报告了一例居住在美国波多黎各的儿科患者患西印度（加勒比）点状角膜病变（WIPK）的病例。一名9岁的西班牙裔女孩前来进行常规眼科随访。该患者有幼年特发性关节炎和慢性双侧前葡萄膜炎病史。就诊时，她的右眼视力为20/30，左眼视力为20/20。右眼检查发现一个圆形白色上皮下角膜混浊，高度约0.1毫米，宽度约0.1毫米，位于角膜中心稍外侧，符合WIPK表现。该病例凸显了在有在任何一个或多个加勒比岛屿居住史的儿童中识别WIPK的重要性。
