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Revista Cubana de Oftalmología

ISSN 1561-3070 (Electronic)
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2014, Number 4

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Rev Cub Oftal 2014; 27 (4)

Epithelial basal membrane dystrophy

Pérez PZ, Charles EJA, Escalona LET, Castillo PAC, López HSM
Full text How to cite this article

Language: Spanish
References: 7
Page: 626-632
PDF size: 154.73 Kb.


Key words:

microcystic corneal dystrophy, Cogan's dystrophy, map-dot-fingerprint dystrophy, recurrent corneal erosion, confocal microscopy.

ABSTRACT

Cogan's dystrophy is the most common anterior corneal dystrophy in adult females aged 40-70 years of age. Here is a 50 years-old female patient suffering from blurred vision, weeping eyes and photophobia. On examination, grayish images were observed in the form of fingerprints and map. This disease is caused by alterations of the epithelial basal membrane bringing about partial or total removal of the corneal epithelium. Often asymptomatic, it is the most common cause of recurrent corneal erosion. Treatment options range from lubricants, topical hypertonic solutions, bandage contact lenses, central epithelial debridement, mechanical or diathermy micropuncture and excimer laser photokeratectomy.


REFERENCES

  1. 1.Weiss J, Moller HU, Lisch W, Kinoshita S, Aldave AJ, Belin MW, et al. The IC3D classification of the corneal dystrophies. Cornea [Internet]. 2008 [citado 10 de junio de 2012];27:2. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19337156

  2. Veire E. Clasificación de las distrofias cornales. En: Boyd S. Distrofias y degeneraciones corneales. Panamá: Jaypee-Highlights Medical Publischers; 2012. p. 43-61.

  3. Pérez CG, Fau R, González GL. Distrofia en huella dactilar: brotes de astigmatismo irregular y su demostración topográfica. Arch Soc Esp Oftalmol [Internet]. 2011 [citado de mayo de 2014];86:12. Disponible en: http://scielo.isciii.es/scielo.php?pid=S0365- 66912011001200006&script=sci_arttext

  4. Laibson PR. Anterior corneal dystrophies. Cornea. 1987;6(2):153.

  5. Sheppard JC, Bowman KM. Evaluación de las distrofias y degeneraciones corneales. En: Boyd S, Gutiérrez AM, McGulley JP. Atlas y texto de patología y cirugía corneal. Panamá: Jaypee Highlights Medical Publishers; 2011. p. 227-58.

  6. Barraquer RI, de Toledo MC, Torres E. Distrofia o queratopatía de la membrana basal epitelial. En: Barraquer RI, de Toledo MC, Torres E. Distrofias y degeneraciones corneales. Atlas y texto 5. Barcelona: Espaxs; 2004. p. 2-56.

  7. Kobayashi A, Yokogawa H, Sugiyama K. In vivo laser confocal microscopy findings in patients with map-dot-fingerprint (epithelial basement membrane) dystrophy. Clinical Ophthalmology [Internet]. 2012 [citado 22 de octubre de 2012];6:1187-90. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3413338/




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Rev Cub Oftal. 2014;27