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Revista mexicana de oftalmología
On-line version ISSN 2604-1227Print version ISSN 0187-4519
Abstract
CARDENAS-DIAZ, Taimi et al. Corneal dystrophy, classification, and phototherapeutic keratectomy. A case report. Rev. mex. oftalmol [online]. 2021, vol.95, n.6, pp.278-284. Epub Dec 16, 2021. ISSN 2604-1227. https://doi.org/10.24875/rmo.m21000158.
Objective:
To present a case of epithelial basement membrane dystrophy according to the IC3D Classification of corneal dystrophies - Edition 2 and results after a phototherapeutic keratectomy.
Clinical case:
A 61-year-old female with decreased visual acuity in both eyes, corneal opacities, subepithelial lines (map-like) in the central area of both corneas. Epithelial basement membrane dystrophy was diagnosed by confocal microscopy, and a phototherapeutic keratectomy was performed, achieving good corneal transparency, a normal confocal microscopy and visual recovery.
Conclusions:
The IC3D Classification of corneal dystrophies IC3D - Edition 2 facilitated the diagnosis of the case. The good morphological result, the significant visual acuity gain and the corneal regularity evidenced by Sirius® tomography demonstrate that phototherapeutic keratectomy is an effective treatment for epithelial basement membrane dystrophy.
Keywords : Corneal dystrophy; IC3D Classification - Edition 2; Phototherapeutic keratectomy.
