The authors report a case about relapsing corneal ulceration in a pati
ent with rheumatoid arthritis. Treatment Of such perforated and preper
forated corneal ulcers is a difficult task. The poor visual outcome of
an emergency penetrating keratoplasty leads to the use of other metho
ds (conjunctival flaps, corneal graft, keratopatch, tissue adhesive).
This case report stresses the importance of preserving the anatomy of
the eye allowing in a record time the performance of corneal graft. Th
e use of immunosuppressive drugs is also discussed because of the exis
tence of a rheumatoid arthritis with eye involvement.