单侧角膜内皮营养不良和前部圆锥角膜。
Unilateral corneal endothelial dystrophy and anterior keratoconus.
作者信息
Martone G, Tommasi C, Traversi C, Balestrazzi A, Berni E, Nuti E, Tosi G M
机构信息
Department of Ophthalmology and Neurosurgery, University of Siena, Siena, Italy.
出版信息
Eur J Ophthalmol. 2007 May-Jun;17(3):430-2. doi: 10.1177/112067210701700327.
PURPOSE
To describe a case of keratoconus and Fuchs' corneal endothelial dystrophy in the left eye with no corneal disease in the right eye.
METHODS
A 64-year-old woman presented with visual impairment in her left eye; computer-assisted topographic analysis and specular microscopy were performed in both eyes and left cornea was histopathologically examined.
RESULTS
Keratoconus was diagnosed by slit-lamp examination, keratometry, and computer-assisted topographic analysis. Corneal endothelial dystrophy was diagnosed on the basis of clinical examination and specular microscopy. Histopathologic examination revealed a stromal degeneration typical of keratoconus and a non-guttae form of endothelial dystrophy.
CONCLUSIONS
This is a rare case of unilateral corneal endothelial dystrophy and keratoconus.
目的
描述一例左眼患圆锥角膜和富克斯角膜内皮营养不良，右眼无角膜疾病的病例。
方法
一名64岁女性因左眼视力障碍就诊；对双眼进行了计算机辅助地形图分析和镜面显微镜检查，并对左眼角膜进行了组织病理学检查。
结果
通过裂隙灯检查、角膜曲率测量和计算机辅助地形图分析诊断为圆锥角膜。根据临床检查和镜面显微镜检查诊断为角膜内皮营养不良。组织病理学检查显示出典型的圆锥角膜基质变性和非滴状内皮营养不良形式。
结论
这是一例罕见的单侧角膜内皮营养不良和圆锥角膜病例。
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