Kanai A, Kaufman H E
Ann Ophthalmol. 1982 Jun;14(6):535-9.
We present here a case of bilateral primary band-shaped keratopathy that changed into a gelatinous, drop-like dystrophy over two years. To our knowledge, this is the first such case reported in the literature. In the first examination of the right eye, histologic evidence revealed no amyloid deposits and the presence of disorganized collagen lamellae with a high-density amorphous substance. The left corneal disc, obtained two years after the first and second examinations, revealed an agglomeration of amyloid fibrils in the subepithelial portion.
我们在此呈现一例双侧原发性带状角膜病变,该病变在两年内转变为胶冻状、滴状营养不良。据我们所知,这是文献中报道的首例此类病例。在右眼的首次检查中,组织学证据显示无淀粉样沉积物,存在排列紊乱的胶原板层以及高密度无定形物质。在首次和第二次检查两年后获取的左眼角膜切片显示,上皮下部分有淀粉样纤维聚集。