Imaging posterior polymorphous corneal dystrophy by in vivo confocal microscopy |
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Authors: | Christina N Grupcheva MD Gerald SM Chew MBChB Matthew Edwards FRCOphth Jennifer P Craig PhD MCOptom and Charles NJ McGhee PhD FRCOphth |
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Institution: | Discipline of Ophthalmology, University of Auckland, Auckland, New Zealand |
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Abstract: | To identify features of posterior polymorphous dystrophy (PPMD) by in vivo confocal microscopy, the corneas of a female patient with PPMD were examined using slit‐lamp biomicroscopy and slit‐scanning in vivo confocal microscopy. Characteristic endothelial vesicular and band lesions were seen clinically and easily identified using in vivo confocal microscopy. However, endothelial pleomorphism, an increased density and reflectance of posterior stromal keratocytes, and prominence of corneal nerves were also delineated. In vivo confocal microscopy enhances clinicopathological diagnosis and follow up of corneal dystrophies with subtle clinical presentations, such as PPMD. |
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Keywords: | cornea endothelium in vivo confocal microscopy posterior polymorphous dystrophy |
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