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Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México

2009, Number 1

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Rev Mex Oftalmol 2009; 83 (1)

Microscopía confocal en distrofias corneales

Centellas-Vargas WR, Velasco R, Baca O, Babayán A

Language: Spanish
References: 26
Page: 26-34
PDF size: 330.74 Kb.


ABSTRACT

At the moment confocal microscopy is used in humans like a tool for diagnosis of infections, scar processes after refracting surgery and some corneal dystrophies. Our objective is to describe the microscopic structural characteristics interpreted by the confocal microscope in patients with epithelial, stromal and endothelial corneal dystrophies.
Results: 30 patients were studied (60 eyes), 28 women (93%) and 2 men (7%). The rank of ages went from 20 to 86 years, average 60±19.45 years. The patients distribution according to the diagnosis is the following: Two with Meesmann dystrophy, two with Cogan dystrophy, three with granular dystrophy, two with pre Descemet dystrophy, one with Francois dystrophy, one with polymorph dystrophy and nineteen with Fuchs dystrophy. In each case we described clinical characteristics and structural microscopy by means of confocal microscope, and we compare them with cases reported in other articles.
Conclusion: Microscopic structural description of corneal dystrophy is a diagnostic alternative that supports the clinical examination made by the ophthalmologist in its initial valuation.


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