Atypical Presentation of Iridocorneal Endothelial Syndrome With Band Keratopathy but No Corneal Edema Managed With Descemet Membrane Endothelial Keratoplasty
| Autor: | Isabel Dapena, Vasiliki Zygoura, Diana Santander-García, Gerrit R. J. Melles, Lamis Baydoun, Robert M. Verdijk, Itay Lavy |
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| Přispěvatelé: | Pathology |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Visual acuity Descemet membrane Endothelium endothelium Visual Acuity DMEK EDTA chelation Cornea 03 medical and health sciences 0302 clinical medicine Corneal edema iridocorneal endothelial syndrome Ophthalmology medicine Humans Band keratopathy Corneal Dystrophies Hereditary Microscopy Confocal business.industry Corneal Edema Middle Aged medicine.disease eye diseases Iridocorneal endothelial syndrome medicine.anatomical_structure 030221 ophthalmology & optometry Female sense organs medicine.symptom Presentation (obstetrics) business endothelial keratoplasty Descemet Stripping Endothelial Keratoplasty 030217 neurology & neurosurgery band keratopathy |
| Zdroj: | Cornea, 37(8), 1064-1066 Cornea, 37(8), 1064-1066. Lippincott Williams & Wilkins |
| ISSN: | 0277-3740 |
| Popis: | Purpose To report an unusual presentation of iridocorneal endothelial (ICE) syndrome associated with band keratopathy and its management with ethylenediamine-tetraacetic acid (EDTA) chelation and Descemet membrane endothelial keratoplasty (DMEK). Methods A 57-year-old female patient presented with unilateral progressive painless visual impairment, corneal band keratopathy, and morphological corneal endothelial changes without corneal edema or any previous ophthalmic, medical, or family history. Routine specular and confocal microscopy imaging, as well as biomicroscopy, best-corrected visual acuity, and pachymetry measurements were performed before and after the surgical procedures. Histopathologic and immunohistochemical evaluations of the surgically excised diseased DM-endothelium were performed. Results Superficial epithelial keratectomy with EDTA chelation was performed. After an initial period of a few months of corneal clearance, the patient presented with recurrence of visually significant band keratopathy. After 1 year, she underwent retreatment with superficial epithelial keratectomy and EDTA chelation, followed by DMEK. Histopathologic and immunohistochemical analysis showed ICE syndrome. Two years after DMEK surgery, the cornea was still clear and band keratopathy had not recurred. Conclusions To the best of our knowledge, this is the first case in the literature that reports the association of ICE syndrome with band keratopathy. As band keratopathy recurred shortly after EDTA chelation, endothelial keratoplasty (DMEK) may be indicated to successfully treat such cases. |
| Databáze: | OpenAIRE |
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