The Amniotic Membrane Transplantatin and Laser Photocoagulation after Lamella Keratectomy of Primary Corneal Lipid Degeneration.

Lee, Do Hyung; Kim, Junsik; Son, Hyuck Woo; Kim, Jae Seok

Original Article

Journal of the Korean Ophthalmological Society 2000;41(2):530-534.
Published online February 1, 2000.

The Amniotic Membrane Transplantatin and Laser Photocoagulation after Lamella Keratectomy of Primary Corneal Lipid Degeneration.

Do Hyung Lee, Junsik Kim, Hyuck Woo Son, Jae Seok Kim

¹Department of Ophthalmology, Ilsan Paik Hospital, Inje University College of Medicine.
²Department of Ophthalmology, Seoul Paik Hospital, Inje University College of Medicine.

원발성 각막 지방 변성증의 치험례

이도형(Do Hyung Lee),김준식(Jun Sik Kim),손혁우(Hyuck Woo Son),김재석(Jae Seok Kim)

Abstract

Opacification of the cornea due to the deposition of lipids may be primary without evidence of previous corneal vascularization, or secondary to either preexisting corneal disease or systemic disturbances of lipid metabolism. If the deterioration of vision continues, penetrating keratoplasty may be needed. We evaluated a 19 year-old female patient referred to our department due to progressive corneal opacity in the left eye. She did not have significant past or family histories of corneal diseases. Ocular examinations revealed the whitish corneal deposits with deep stromal vascularization in her left eye. For confirmation of the diagnosis, lamellar keratectomy with amniotic membrane transplantation was performed and deep stromal vessels were photocoagulated using an argon laser. Histologic findings were compatible with lipid degeneration. The corneal opacities reduced markedly and did not show any evidence of recurrence during the follow up period of six months. Therefore, we report this case with the review of the literature.

Key Words: Amniotic membrane transplantation;Keratectomy;Lipid degeneration;Photocoagulatio