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A case of traumatic corneal stromal edema with decreased endothelial cell density
- Source :
- International Medical Case Reports Journal
- Publication Year :
- 2015
- Publisher :
- Dove Medical Press, 2015.
-
Abstract
- A 31-year-old man presented to our clinic for an ocular trauma to his left eye. His best-corrected visual acuity was 20/200 OS (left eye). Anterior segment examination showed an epithelial defect, which implies a direct injury to the cornea. A marked focal stromal edema accompanied by Descemet’s membrane folds were located at 10 o’clock in the paraxial area, about 4 mm apart from the corneal center. Anterior segment optical coherence tomography (AS-OCT) revealed marked corneal swelling of the lesion. Five days later, the patient’s best-corrected visual acuity improved to 20/50 OS. The stromal edema resolved showing no signs of epithelial defect, although small opacity remained. AS-OCT revealed complete resolution of corneal swelling. Despite the resolution of corneal edema, however, specular microscopy showed substantially decreased endothelial cell density in the lesion compared to the fellow eye. Here we report a case of traumatic corneal stromal edema discovered by AS-OCT.
- Subjects :
- medicine.medical_specialty
Pathology
Visual acuity
medicine.diagnostic_test
genetic structures
business.industry
AS-OCT
Case Report
General Medicine
eye diseases
Stromal edema
Endothelial cell density
Lesion
medicine.anatomical_structure
trauma
Corneal edema
Optical coherence tomography
stromal edema
Ophthalmology
Cornea
medicine
sense organs
medicine.symptom
business
Corneal stromal edema
Subjects
Details
- Language :
- English
- ISSN :
- 1179142X
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- International Medical Case Reports Journal
- Accession number :
- edsair.doi.dedup.....38e13410376ce3163f3d7b4c02a76d69