Ulcerative colitis (Crohn's disease) is a chronic relapsing inflammato
ry bowel disease of unknown etiology. The most common ocular complicat
ions include conjunctivitis and uveitis, particularly iritis. Herein,
we describe a patient who had a decrease in visual acuity due to an in
creasing astigmatism. This was accompanied with a peripheral limbal th
inning of the cornea and faint confluent corneal changes. No systemic
activity was present during the period that the patient was monitored.
Changes of astigmatism were followed up with videokeratography. This
apparatus monitors changes in clinical course accurately and makes com
parison possible between separate visits.