Department of Ophthalmology (A.S.P., S.J.), Centre Hospitalier de l'Université de Montréal, Montréal, Canada; Department of Ophthalmology (M.C.), University of Sherbrooke, Sherbrooke, Canada; LASIK MD (M.C.), Montréal, Canada; and Department of Ophthalmology (S.J.), McGill University, Montréal, Canada.
Eye Contact Lens. 2024 Nov 1;50(11):494-497. doi: 10.1097/ICL.0000000000001131. Epub 2024 Oct 1.
We report a case of corneal epithelial hyperplasia associated with chronic eye rubbing mimicking keratoconus. A 32-year-old man was presented with a 3-year history of suboptimal vision and astigmatism in his left eye. His history was significant for chronic left eye rubbing. The anterior corneal curvature map showed inferior steepening in the left eye; however, other features of ectasia were absent. Corneal epithelium thickness mapping with optical coherence tomography was significant for corresponding epithelial thickening. His corneal imaging remained stable at a 6-month follow-up examination. At month 15-and after cessation of eye rubbing behavior-the vision symptoms, refraction, and corneal imaging had normalized. In conclusion, chronic eye rubbing may cause reversible corneal epithelial hypertrophy. Eye rubbing should be considered in the evaluation of patients presenting with unexplained vision symptoms and changes in astigmatism that are not consistent with ectasia on corneal imaging.
我们报告了一例与慢性揉眼相关的角膜上皮过度增生，其表现类似于圆锥角膜。一名 32 岁男性左眼出现 3 年的视力不佳和散光。他的病史主要为慢性左眼揉眼。眼前部曲率图显示左眼下方变陡峭；然而，不存在其他扩张特征。光学相干断层扫描的角膜上皮厚度图显示相应的上皮增厚。他的角膜成像在 6 个月的随访检查中保持稳定。在第 15 个月（停止揉眼行为后），视力症状、屈光度和角膜成像均恢复正常。总之，慢性揉眼可能导致角膜上皮可逆性肥厚。对于出现不明原因视力症状和散光变化的患者，且这些变化与角膜成像上的扩张不一致时，应考虑揉眼因素。
