NR 1-2/2003
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Dystrofia polimorficzna tylna rogówki -
trudności diagnostyczne
Posterior polymorphous corneal dystrophy -
diagnostic difficulties
Ewa Iwaszkiewicz, Wojciech Kołodziejczyk, Marek Czubak, Piotr
Tesla
Z Katedry i Kliniki Okulistyki II Wydziału Lekarskiego Akademii Medycznej w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik |
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| Summary: |
Purpose: This paper describes complications
due to the posterior polymorphous corneal dystrophy in one patient.
Material and methods: Medical history of misdiagnosis and subsequent
wrong procedures, to which patient with binocular posterior polymorphous corneal dystrophy
was exposed, where presented. The eye misdiagnosed with profound keratitis was initially
treated with high doses of steroids, what could possibly lead to extensive fungal corneal
ulceration and complicated cataract.
Results: Thanks to the detailed examination of the fellow eye in the slit
lamp and specular microscope, correct diagnosis was made.
Conclusions: Since posterior polymorphous corneal dystrophy is one of the
rare conditions, especially with coexisting eye irritation, wrong diagnosis of this
disorder is possible to be made. Therefore, extremely important in every day
ophthalmological practice precise examination of the both eyes and special care during
steroid treatment is essential. |
| Słowa kluczowe: |
dystrofia polimorficzna tylna, owrzodzenie grzybicze,
przeszczep rogówki, dekompensacja śródbłonka rogówki. |
| Key words: |
polymorphous posterior dystrophy, fungal corneal ulceration,
corneal graft, corneal endothelium decompensation. |
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