Güler Emre, Totan Yüksel, Hepşen İbrahim F, Tenlik Aylin
Department of Ophthalmology (E.G., Y.T., A.T.), Medical School, Turgut Özal University, Ankara, Turkey; and Department of Ophthalmology (I.F.H.), Medical School, Gazi University, Ankara, Turkey.
Eye Contact Lens. 2018 Jan;44(1):e4-e6. doi: 10.1097/ICL.0000000000000003.
To report a case of unilateral spontaneous descemet membrane rupture associated with megalophthalmos.
A case report of a 23-year-old woman with blurred vision of the right eye for 6 months due to spontaneous descemet membrane rupture associated with megalophthalmos is described. Slit-lamp examination demonstrated corneal edema and suggestion of a descemet membrane rupture in the right eye.
Anterior segment optical coherence tomography verified the presence of a ruptured descemet membrane separated from the nasal posterior cornea along with corneal edema and intraepithelial cystic lesions. With A-scan ultrasonography, axial lengths were 32 and 28 mm in OD and OS, respectively. Indirect gonioscopy demonstrated a wide iridocorneal angle and a ciliary body band, bilaterally. Corneal pachymetry measurements were performed with Pentacam HR Scheimpflug topography which measured the central corneal thickness 360 μ in OD and 300 μ in OS.
Megalophthalmos and spontaneous descemet membrane rupture are rare conditions. To the best literature knowledge, this is the first report of descemet membrane rupture in megalophthalmos.
报告一例与牛眼相关的单侧自发性后弹力层破裂病例。
描述了一例23岁女性因与牛眼相关的自发性后弹力层破裂导致右眼视力模糊6个月的病例报告。裂隙灯检查显示右眼角膜水肿并提示后弹力层破裂。
眼前节光学相干断层扫描证实存在后弹力层破裂，其与鼻侧角膜后表面分离，同时伴有角膜水肿和上皮内囊性病变。A超检查显示右眼眼轴长度为32mm，左眼为28mm。间接房角镜检查显示双侧房角宽及睫状体带。使用Pentacam HR眼前节分析系统进行角膜测厚，右眼中央角膜厚度为360μm，左眼为300μm。
牛眼和自发性后弹力层破裂均为罕见情况。据现有文献所知，这是首例关于牛眼合并后弹力层破裂的报告。
