Celis Sánchez J, Mesa Varona D V, Avendaño Cantos E, López-Romero Moraleda S, Cebrian Rosado E, González Del Valle F
Servicio de Oftalmología, Hospital La Mancha Centro, Alcázar de San Juan, Ciudad Real, España.
Servicio de Oftalmología, Hospital La Mancha Centro, Alcázar de San Juan, Ciudad Real, España.
Arch Soc Esp Oftalmol. 2016 Jul;91(7):333-6. doi: 10.1016/j.oftal.2016.01.029. Epub 2016 Feb 28.
The case concerns 64-year-old woman with visual acuity of 20/40 in the right eye. Slit-lamp examination revealed a grey, feathery corneal opacification with intraepithelial microcysts compatible with Lisch epithelial corneal dystrophy (LECD). It was treated with epithelial debridements, contact lenses and mitomycin C, but the opacification recurred within months. The removal of limbus sector and autologous limbal transplantation (KLAT) were used successfully without recurrence.
After removal of damaged limbus, KLAT should be considered as a treatment option for asymmetric LECD when other treatments have failed.
该病例为一名64岁女性，右眼视力为20/40。裂隙灯检查发现角膜呈灰色、羽毛状混浊，伴有上皮内微囊肿，符合利施上皮性角膜营养不良（LECD）。曾采用上皮清创术、佩戴隐形眼镜和丝裂霉素C进行治疗，但混浊在数月内复发。成功实施了角膜缘扇形切除术和自体角膜缘移植术（KLAT），未再复发。
当其他治疗方法失败后，对于不对称性LECD，在切除受损角膜缘后应考虑采用KLAT作为一种治疗选择。
