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KMID : 0360220130540111783
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Journal of the Korean Ophthalmological Society
2013 Volume.54 No. 11 p.1783 ~ p.1787
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Confocal Microscopic Findings in Posterior Polymorphous Corneal Dystrophy
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Choi Beom-Seok
Park Young-Min
Lee Jong-Soo
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Abstract
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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.
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KEYWORD
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Confocal microscopy, Posterior polymorphous corneal dystrophy
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