Pre-Descemet Corneal Dystrophy – Changes in Corneal Morphology in Confocal Microscopy

Purpose To identify and describe the in-vivo microstructural changes in the cornea of patients with pre-Descemet’s membrane corneal dystrophy. Methods Ten patients (20 eyes) were examined in the Laser Microsurgery Centre in Warsaw. The ophthalmic examination, including visual acuity and slit lamp b...

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Main Authors: Urszula Kołodziejska, Anna K. Kurowska, Jacek P. Szaflik, Jerzy Szaflik
Format: Article
Language:English
Published: Termedia Publishing House 2024-08-01
Series:Okulistyka
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Online Access:https://www.ophthalmologypoland.com.pl/Pre-Descemet-Corneal-Dystrophy-Changes-in-Corneal-Morphology-in-Confocal-Microscopy,191663,0,2.html
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author Urszula Kołodziejska
Anna K. Kurowska
Jacek P. Szaflik
Jerzy Szaflik
author_facet Urszula Kołodziejska
Anna K. Kurowska
Jacek P. Szaflik
Jerzy Szaflik
author_sort Urszula Kołodziejska
collection DOAJ
description Purpose To identify and describe the in-vivo microstructural changes in the cornea of patients with pre-Descemet’s membrane corneal dystrophy. Methods Ten patients (20 eyes) were examined in the Laser Microsurgery Centre in Warsaw. The ophthalmic examination, including visual acuity and slit lamp biomicroscopy, was carried out. Because of suspicion of corneal dystrophy, in vivo confocal microscopy of the cornea was also performed. Results Biomicroscopy revealed bilateral, dust-like fine opacities in the deep parts of the corneal stroma. Confocal microscopy showed pleomorphic structures (enlarged keratocytes) containing dense, hyperreflective, granular inclusions in the posterior stroma, next to the Descemet’s membrane. In 3 patients (6 eyes) punctate particles were seen extracellularly also in the mid stroma. Superficial and basal epithelial layers, anterior stroma and endothelium cells appeared normal. Conclusions 1. In vivo confocal microscopy findings of cornea with pre-Descemet’s membrane dystrophy are characteristic. 2. In vivo confocal microscopy is a useful tool in diagnosing rare corneal dystrophies in cases where classical examination methods give inconclusive results.
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spelling doaj-art-c1e3dd1233524d31aadd33bc5b810f712025-01-24T12:40:43ZengTermedia Publishing HouseOkulistyka1505-27531689-362X2024-08-0127251010.5114/oku/191663191663Pre-Descemet Corneal Dystrophy – Changes in Corneal Morphology in Confocal MicroscopyUrszula Kołodziejska0Anna K. Kurowska1Jacek P. Szaflik2Jerzy Szaflik3Laser Eye Microsurgery Centre in WarsawDepartment of Ophthalmology Medical University of WarsawLaser Eye Microsurgery Centre in WarsawLaser Eye Microsurgery Centre in WarsawPurpose To identify and describe the in-vivo microstructural changes in the cornea of patients with pre-Descemet’s membrane corneal dystrophy. Methods Ten patients (20 eyes) were examined in the Laser Microsurgery Centre in Warsaw. The ophthalmic examination, including visual acuity and slit lamp biomicroscopy, was carried out. Because of suspicion of corneal dystrophy, in vivo confocal microscopy of the cornea was also performed. Results Biomicroscopy revealed bilateral, dust-like fine opacities in the deep parts of the corneal stroma. Confocal microscopy showed pleomorphic structures (enlarged keratocytes) containing dense, hyperreflective, granular inclusions in the posterior stroma, next to the Descemet’s membrane. In 3 patients (6 eyes) punctate particles were seen extracellularly also in the mid stroma. Superficial and basal epithelial layers, anterior stroma and endothelium cells appeared normal. Conclusions 1. In vivo confocal microscopy findings of cornea with pre-Descemet’s membrane dystrophy are characteristic. 2. In vivo confocal microscopy is a useful tool in diagnosing rare corneal dystrophies in cases where classical examination methods give inconclusive results.https://www.ophthalmologypoland.com.pl/Pre-Descemet-Corneal-Dystrophy-Changes-in-Corneal-Morphology-in-Confocal-Microscopy,191663,0,2.htmlpre-descemet corneal dystrophyin vivo confocal microscopy
spellingShingle Urszula Kołodziejska
Anna K. Kurowska
Jacek P. Szaflik
Jerzy Szaflik
Pre-Descemet Corneal Dystrophy – Changes in Corneal Morphology in Confocal Microscopy
Okulistyka
pre-descemet corneal dystrophy
in vivo confocal microscopy
title Pre-Descemet Corneal Dystrophy – Changes in Corneal Morphology in Confocal Microscopy
title_full Pre-Descemet Corneal Dystrophy – Changes in Corneal Morphology in Confocal Microscopy
title_fullStr Pre-Descemet Corneal Dystrophy – Changes in Corneal Morphology in Confocal Microscopy
title_full_unstemmed Pre-Descemet Corneal Dystrophy – Changes in Corneal Morphology in Confocal Microscopy
title_short Pre-Descemet Corneal Dystrophy – Changes in Corneal Morphology in Confocal Microscopy
title_sort pre descemet corneal dystrophy changes in corneal morphology in confocal microscopy
topic pre-descemet corneal dystrophy
in vivo confocal microscopy
url https://www.ophthalmologypoland.com.pl/Pre-Descemet-Corneal-Dystrophy-Changes-in-Corneal-Morphology-in-Confocal-Microscopy,191663,0,2.html
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AT jacekpszaflik predescemetcornealdystrophychangesincornealmorphologyinconfocalmicroscopy
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