후부다형각막변성증과 출생 시 겸자 분만 손상에 의한 데스메막 파열이 동반된 증례보고 1예

• 영문명: Posterior Polymorphous Corneal Dystrophy (PPCD) Combined with Traumatic Descemet’s Membrane Fold
• 발행기관: 대한안과학회
• 저자명: 김나현 신지영 김만수,Na Hyun Kim, MD, Ji Young Shin, MD, Man Soo Kim, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number8, 1238~1241쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.08.15

영문 초록

Purpose: To present a case of a 72-year-old woman with posterior polymorphous corneal dystrophy (PPCD) combined with traumatic Descemet’s membrane fold due to forceps injury in Birth. Case summary: A 72-year-old woman without significant ocular history presented complaining of ocular discomfort in her right eye. She had a history of birth that required forceps delivery and poor vision in the right eye since childhood. The rest of perinatal ophthalmic history was unremarkable (no past ophthalmic or family history). The best corrected visual acuity was 20/20 in both eyes. Slit-lamp biomicroscopy showed distinctive, vertical, semitranslucent Descemet’s membrane breaks situated on the superior temporal side of the posterior surface of the cornea in her right eye. Also, a horizontal, tram-track line appearance of posterior cornea surface was detected at middle and inferior side of cornea. The fellow eye was normal. The endothelial cell densities were 945 cells/mm and 2481 cells/mm in right and left eyes, respectively. After 11 years later, (routine follow up exams every 1 year), the endothelial cell densities were 901 cells/mm and 2481 cells/mm in right and left eyes, respectively, which means there were no significant changes of endothelial densities in both eyes. Conclusions: We report a case of a patient with posterior polymorphous corneal dystrophy (PPCD) combined with traumatic Descemet’s membrane fold due to forceps injury in Birth. The disease does not seem to progress or aggravated in long term follow up and no specific treatment was required. J Korean Ophthalmol Soc 2014;55(8):1238-1241

키워드

Descemet’s membrane, Endothelial cells, Forceps injury, Posterior polymorphous corneal dystrophy, Progression