A CARE-compliant article: optical coherence tomography for epithelial basement membrane dystrophy: A case report.
Medicine (Baltimore)
; 98(13): e15032, 2019 Mar.
Article
in En
| MEDLINE
| ID: mdl-30921226
ABSTRACT
RATIONALE The etiology of anterior corneal opacities and the effect of debridement cannot be determined by biomicroscopy. Optical coherence tomography (OCT) helps identify the character and depth of these lesions. PATIENT CONCERNS A 45-year-old female complained of progressive blurred vision for a long time. Slit lamp biomicroscopy showed irregular, faint scar-like opacity of anterior cornea in her both eyes. Pentacam Scheimpflug camera tomography showed irregular astigmatism of anterior corneal surface. Anterior segment spectral-domain OCT revealed thickened, hyper-reflective linings, and scattered lesions, mainly in the epithelial layer. DIAGNOSES Epithelial basement membrane dystrophy (EBMD). INTERVENTION Epithelial debridement and bandage lenses. OUTCOMES:
The cornea became clear and the vision improved soon after debridement. The pathology showed thickened aberrant basement membrane extending into mid-epithelial layer, with microcyst-like lesions also noted. LESSONS OCT defines the depth of lesions and helps diagnosis and management of EBMD.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Tomography, Optical Coherence
/
Cogan Syndrome
Type of study:
Prognostic_studies
Limits:
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Medicine (Baltimore)
Year:
2019
Document type:
Article