Bilateral Progressive Idiopathic Annular Lipid Keratopathy
Joint Authors
Alves, Milton Ruiz
Victor, Gustavo
Ghanem, Ramon Coral
Ghanem, Vinícius Coral
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-05-10
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Purpose.
To report two unusual cases of idiopathic lipid keratopathy with symmetrical bilateral annular corneal lipid infiltration and describe confocal microscopy findings.
Methods.
Case reports.
Results.
We report two patients with bilateral peripheral deep stromal lipid deposits beginning in an arcuate pattern and progressing to a complete annular shape.
Cholesterol crystals were observed in the paracentral area in both cases with characteristic crystalline-like structures in the confocal microscopy.
Deep thin corneal blood vessels were observed in one patient, but no cause for then was established, despite decades of followup.
This patient had an idiopathic limbitis as well, occurring in episodes.
No previous ocular trauma, systemic disease or family history was reported for both cases.
Conclusion.
These two cases of idiopathic annular lipid keratopathy were observed for more than a decade with documented slow and insidious progression of the infiltrates, in spite of the use of topical steroids in one case.
In the majority of other reported cases, a penetrating keratoplasty was made necessary.
Differently, we showed that the visual acuity can remain quite good for years with very slow deterioration.
American Psychological Association (APA)
Ghanem, Ramon Coral& Ghanem, Vinícius Coral& Victor, Gustavo& Alves, Milton Ruiz. 2012. Bilateral Progressive Idiopathic Annular Lipid Keratopathy. Case Reports in Ophthalmological Medicine،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-494205
Modern Language Association (MLA)
Ghanem, Ramon Coral…[et al.]. Bilateral Progressive Idiopathic Annular Lipid Keratopathy. Case Reports in Ophthalmological Medicine No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-494205
American Medical Association (AMA)
Ghanem, Ramon Coral& Ghanem, Vinícius Coral& Victor, Gustavo& Alves, Milton Ruiz. Bilateral Progressive Idiopathic Annular Lipid Keratopathy. Case Reports in Ophthalmological Medicine. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-494205
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-494205