| Confocal Microscopic Findings in Posterior Polymorphous Corneal Dystrophy. |
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Beom Seok Choi, Young Min Park, Jong Soo Lee |
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Department of Ophthalmology, Pusan National University Hospital, Pusan National University & Medical Research Institute School of Medicine, Busan, Korea. jongsool@pusan.ac.kr |
| 후부다형각막이상증의 공초점주사현미경소견 |
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최범석⋅박영민⋅이종수 |
Department of Ophthalmology, Pusan National University Hospital, Pusan National University &
Medical Research Institute School of Medicine, Busan, Korea |
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| Abstract |
PURPOSE
To analyze the features of corneal tissue in patients with posterior polymorphous corneal dystrophy (PPMD) using in vivo confocal microscopy (IVCM). CASE SUMMARY: Three patients with clinically diagnosed PPMD were examined using IVCM. Cross-sectioned corneal images of the corneal epithelium, Bowman's layer, stromal layer, Descemet's membrane, and endothelium were evaluated. IVCM demonstrated a depressed crater-like lesion, hyper-dense streak-like lesion, and surface irregularity of the corneal endothelium. Endothelial hypo-reflective vesicular and band-like lesions were also found. Pleomorphism and polymegathism were present with guttae and hyper-reflective endothelial nuclei. CONCLUSIONS: IVCM is a non-invasive and effective tool to diagnose PPMD. |
| Key Words:
Confocal microscopy;Posterior polymorphous corneal dystrophy |
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