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NR. 3(II)/2007
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Mikroskopia
konfokalna rogówki w śródbłonkowym zespole tęczówkowo-rogówkowym
Confocal Microscopy of Cornea in Iridocorneal Endothelial
Syndrome
Jacek P. Szaflik, Monika Udziela,
Anna Kamińska, Anna Zaleska-Żmijewska,
Urszula Kołodziejska, Jerzy Szaflik
Katedra i Klinika Okulistyki II Wydziału Lekarskiego Akademii
Medycznej w Warszawie
Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik |
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| Summary: |
Aim: To describe
corneal confocal microscopy findings in cases of
iridocorneal endothelial syndrome (ICE).
Methods: 4 patients (3 men and 1 woman) aged
48-71 years (mean 56) were diagnosed. The ophthalmic
examination was carried out including visual acuity,
slit lamp biomicroscopy, fundus examination, tonometry,
gonioscopy, pachymetry and confocal microscopy of the
cornea. In 2 cases anterior segment optical coherence
tomography was performed.
Results: Slit lamp biomicroscopy revealed
discrete, usually linear lesions on the posterior
surface of the cornea. In vivo confocal microscopy
imaged characteristic epithelium-like endothelial cells
and stromal oedema usually limited to the area adjacent
to the pathological endothelium.
Conclusions: Presented cases confirm the clinical
usefulness of confocal microscopy in the evaluation of
endothelial pathologies. In-vivo confocal microscopy
allows imaging the specific histopathologic corneal
features of ICE syndrome also in its early stage, when
changes are limited to cornea. |
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| Key words: |
iridocorneal endothelial
syndrome, cornea, confocal microscopy, endothelium,
glaucoma. |
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