2022-09-282022-09-282021Martín, L.L., Rocha de Lossada, C., Marín-Martínez, S., Peraza-Nieves, y Jorge Ernesto, (2021). Sterile, Recurrent, And Bilateral Corneal Perforation Related To Primary Biliary Cirrhosis Complicated By Secondary Sjögren Syndrome And Vitamin A Deficiency. Arquivos Brasileiros de Oftalmologia, 84 (6), 606-609.1678-29250009-2749https://hdl.handle.net/11441/137434Primary biliary cirrhosis is a rare progressive autoimmune liver disease that causes chronic cholestasis. Of patients with primary biliary cirrhosis, 75% develop secondary Sjogren syndrome and could develop vitamin A deficiency. Here, we report the case of a patient with primary biliary cirrhosis who developed a secondary Sjogren syndrome and vitamin A deficiency, which led to severe and unusual eye involvement with multiple and recurrent spontaneous corneal perforations. Corneal perforations in patients with primary biliary cirrhosis and secondary Sjogren syndrome are rare but devastating complications, in contrast to other eye clinical manifestations of the disease.application/pdf4 p.engAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/Primary biliary cirrhosisCorneal perforationSjogren syndromeVitamin A deficiencyAutoimmune diseaseinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccesshttps://doi.org/10.5935/0004-2749.20210100