穿透性角膜移植术后角膜移植片中复发性颗粒状营养不良的活体共聚焦显微镜检查

In vivo confocal microscopy in recurrent granular dystrophy in corneal graft after penetrating keratoplasty.

作者信息

Traversi Claudio, Martone Gianluca, Malandrini Alex, Tosi Gian Marco, Caporossi Aldo

出版信息

Clin Exp Ophthalmol. 2006 Nov;34(8):808-10. doi: 10.1111/j.1442-9071.2006.01329.x.

DOI:10.1111/j.1442-9071.2006.01329.x

Abstract

Two case reports of recurrent granular dystrophy in corneal grafts after penetrating keratoplasty are presented. Slit-lamp examination and confocal microscopy (HRT II) were performed in two patients with recurrent granular dystrophy. All confocal microscopic findings of granular dystrophy were evaluated in the graft. Dystrophic lesions of the donor cornea presented the same confocal microscopic aspects in both eyes, and were similar to granular dystrophy lesions. Confocal microscopy is an imaging method that may provide new information on corneal microanatomy in dystrophies. It may be particularly useful in improving the early diagnosis of dystrophic lesions in corneal grafts.

摘要

本文报告了两例穿透性角膜移植术后角膜植片复发性颗粒状营养不良的病例。对两名复发性颗粒状营养不良患者进行了裂隙灯检查和共焦显微镜检查（HRT II）。在植片中评估了颗粒状营养不良的所有共焦显微镜检查结果。供体角膜的营养不良性病变在双眼呈现相同的共焦显微镜特征，且与颗粒状营养不良病变相似。共焦显微镜检查是一种成像方法，可为营养不良性角膜的微观解剖结构提供新信息。它在改善角膜植片营养不良性病变的早期诊断方面可能特别有用。