Abstract | PURPOSE: METHODS: A 30-year-old White man was referred to our subspecialty corneal clinic for further investigation of right corectopia. The patient was asymptomatic and was otherwise fit. Slit-lamp examination revealed a right oval-shaped pupil decentered superiorly, a transillumination defect at the 5-o'clock position, minimal gutta-like changes in the corneal endothelium, and few inferior peripheral anterior synechiae. Dilated fundoscopy was normal in both eyes, with healthy optic discs, maculae, and peripheral retinae. Specular microscopy and slit-lamp findings suggested ICE syndrome. Subsequent investigation with corneal tomography showed progressive signs of inferior corneal ectasia with steepening, and thinning in the right eye, consistent with keratoconus. The left eye was unremarkable. RESULTS: Epithelium-off accelerated corneal CXL was performed in the affected eye. Early post-CXL follow-up (1 week) was unremarkable, and further follow-ups were arranged at 3, 6, 12, and 24 months, respectively. In subsequent reviews, the patient's vision and corneal tomography findings were stable. CONCLUSIONS:
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Authors | Maria Phylactou, Nizar Din, Francesco Aiello, Romesh Angunawela |
Journal | Cornea
(Cornea)
Vol. 42
Issue 10
Pg. 1293-1296
(Oct 01 2023)
ISSN: 1536-4798 [Electronic] United States |
PMID | 37170404
(Publication Type: Case Reports, Journal Article)
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Copyright | Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved. |
Chemical References |
- Cross-Linking Reagents
- Photosensitizing Agents
- Riboflavin
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Topics |
- Male
- Humans
- Adult
- Keratoconus
(drug therapy)
- Iridocorneal Endothelial Syndrome
- Corneal Cross-Linking
- Corneal Stroma
- Ultraviolet Rays
- Visual Acuity
- Cross-Linking Reagents
(therapeutic use)
- Photosensitizing Agents
(therapeutic use)
- Riboflavin
(therapeutic use)
- Corneal Topography
- Photochemotherapy
(methods)
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