In Vivo Confocal Microscopic Findings in Posterior Polymorphous Corneal Dystrophy

dc.contributor.authorBozkurt, Banu
dc.contributor.authorIrkec, Murat
dc.contributor.authorMocan, Mehmet C.
dc.date.accessioned2020-03-26T18:42:10Z
dc.date.available2020-03-26T18:42:10Z
dc.date.issued2013
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractPurpose: To describe the corneal findings in posterior polymorphous corneal dystrophy (PPCD) as imaged with laser scanning in vivo confocal microscopy (IVCM).Methods: IVCM images of 7 subjects with PPCD who had typical slit-lamp biomicroscopic findings of endothelial vesicular, band, and/or placoid lesions were evaluated.Results: Five women and 2 men aged 7 to 64 years were included in this study. Laser scanning IVCM (Heidelberg Retina Tomograph II, Rostock Cornea Module) revealed hyporeflective, round, vesicular lesions with diameters ranging between 20 and 200 mu m in 3 subjects, combined vesicular and curvilinear hyperreflective band-like lesions in 3 subjects, and combined vesicular and placoid hyperreflective lesions in 1 subject at the level of Descemet membrane (DM), endothelial cell layer, and posterior stroma adjacent to DM. One subject had coassociated epithelial basement membrane dystrophy. Additional findings included posterior stromal keratocytes with elongated spindle-like nucleus, giant and nucleated endothelial cells, endothelial deposits, and guttae-like dark spots. The mean endothelial cell density was 1485.7 +/- 486.3 cells per square millimeter (range, 990-2365 cells/mm(2)). The mean central corneal thickness was 585.3 +/- 37.17 m (range, 534-643 m).Conclusions: Laser scanning IVCM is able to highlight the characteristic microstructural alterations at the level of endothelium and DM in the setting of PPCD and may have diagnostic utility in equivocal cases with borderline biomicroscopic findings. The possible association of PPCD with epithelial basement membrane dystrophy warrants further investigation.en_US
dc.identifier.doi10.1097/ICO.0b013e31828e324den_US
dc.identifier.endpage1242en_US
dc.identifier.issn0277-3740en_US
dc.identifier.issue9en_US
dc.identifier.pmid23635854en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1237en_US
dc.identifier.urihttps://dx.doi.org/10.1097/ICO.0b013e31828e324d
dc.identifier.urihttps://hdl.handle.net/20.500.12395/29568
dc.identifier.volume32en_US
dc.identifier.wosWOS:000323374400015en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofCORNEAen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectin vivo confocal microscopyen_US
dc.subjectposterior polymorphous corneal dystrophyen_US
dc.subjectvesiclesen_US
dc.subjectnucleated endothelial cellsen_US
dc.subjectHRT II RCMen_US
dc.titleIn Vivo Confocal Microscopic Findings in Posterior Polymorphous Corneal Dystrophyen_US
dc.typeArticleen_US

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