Abstract:
PURPOSE:To report clinical, in vivo confocal microscopy and ex vivo histopathologic findings of Salzmann nodular degeneration (SND). METHODS:A 48-year-old woman with symptoms of ocular irritation and decreased visual acuity caused by SND in both eyes was treated by corneal scraping and phototherapeutic keratectomy (PTK). Slit-lamp biomicroscopy, in vivo confocal microscopy, ex vivo light microscopy, immunohistology, and corneal topography were performed. RESULTS:In vivo confocal microscopy showed an irregular network of highly reflective structures representing activated keratocytes, which could be seen by light microscopy and characterized immunohistologically as myofibroblasts. Unstructured areas with increased reflectivity correlated with irregularly arranged collagen fibers and hyaline deposits in the nodulus. Epithelial cells in vivo appeared atypically shaped and elongated. These observations were consistent with decreased thickness of the epithelium over the nodules showed by histopathology. Treatment led to a dramatic reduction of hyperopia. Two months after surgery, uncorrected visual acuity (UCVA) in the right eye was 20/32 and 20/20 with a refraction of -0.75 -0.75/0 degrees. UCVA in the left eye was 20/40 and 20/20 with a refraction of +0.50 -1.75/165 degrees. Corneal topography showed regular astigmatism. CONCLUSION:In vivo confocal microscopy confirmed the clinicopathologic findings of Salzmann's nodular degeneration. Observations by in vivo confocal microscopy were consistent with the histopathologic descriptions of SND.
journal_name
Corneajournal_title
Corneaauthors
Meltendorf C,Bühren J,Bug R,Ohrloff C,Kohnen Tdoi
10.1097/01.ico.0000214215.75496.a5subject
Has Abstractpub_date
2006-07-01 00:00:00pages
734-8issue
6eissn
0277-3740issn
1536-4798pii
00003226-200607000-00019journal_volume
25pub_type
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