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格子状角膜营养不良:一个容易混淆的来源。

Lattice corneal dystrophy: a source of confusion.

作者信息

Sturrock G D

出版信息

Br J Ophthalmol. 1983 Sep;67(9):629-34. doi: 10.1136/bjo.67.9.629.

Abstract

Published descriptions of families with lattice dystrophy of the cornea reveal a much more varied clinical course and a more pleomorphic corneal picture than the rather stereotyped textbook descriptions would suggest. This report describes a family with lattice dystrophy of unusually late onset with retention of useful vision into the 7th decade. Herpes simplex keratitis was misdiagnosed in 5 members of the family by different ophthalmologists, probably because the typical lattice lines were fine and visible only by retroillumination.

摘要

已发表的关于角膜格子状营养不良家族的描述显示,其临床病程比教科书上较为刻板的描述要丰富得多,角膜表现也更多样化。本报告描述了一个角膜格子状营养不良发病异常晚的家族,患者在七十多岁时仍保留有用视力。该家族中有5名成员被不同的眼科医生误诊为单纯疱疹性角膜炎,可能是因为典型的格子状线条很细,只有通过后部照明才能看到。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe2f/1040144/35e1194ba9fc/brjopthal00165-0070-a.jpg

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