Lanzl I M, Seidova S-F, Erben A, Thürmel K, Kotliar K
Klinik und Poliklinik für Augenheilkunde, Klinikum rechts der Isar, Technische Universität München, Ismaninger Strasse 22, 81675 München.
Ophthalmologe. 2010 Apr;107(4):363-5. doi: 10.1007/s00347-009-2066-2.
Bilateral stromal corneal opacity is a differential diagnostic challenge for ophthalmologists. In this article 2 female patients aged 30 and 36 years old, respectively, with different degrees of expression of stromal diffuse corneal opacity will be presented. Patient 1 was of short stature (114 cm) and patient 2 was 172 cm in size. Both patients exhibited altered joint structures of the hands and feet and diffuse stromal corneal opacity. Furthermore, patient 1 had both mitral and aortal insufficiencies and patient 2 an aorta insufficiency. The stromal diffuse corneal opacity was indicative of Schleie syndrome. For patients with reduced vision a lamellary keratoplasty is to be recommended.
双侧角膜基质混浊对眼科医生来说是一个鉴别诊断难题。本文将介绍2例分别为30岁和36岁的女性患者,她们有不同程度的角膜基质弥漫性混浊表现。患者1身材矮小(身高114厘米),患者2身高172厘米。两名患者均表现出手足关节结构改变和角膜基质弥漫性混浊。此外,患者1有二尖瓣和主动脉瓣关闭不全,患者2有主动脉瓣关闭不全。角膜基质弥漫性混浊提示为施莱综合征。对于视力下降的患者,建议行板层角膜移植术。