J Korean Ophthalmol Soc.  2000 Feb;41(2):530-534.

The Amniotic Membrane Transplantatin and Laser Photocoagulation after Lamella Keratectomy of Primary Corneal Lipid Degeneration

• Lee DH
• Kim J
• Son HW
• Kim JS

Abstract

Opacification of the cornea due to the deposition of lipids may be primary without evidence of previous corneal vascularization, or secondary to either preexisting corneal disease or systemic disturbances of lipid metabolism. If the deterioration of vision continues, penetrating keratoplasty may be needed. We evaluated a 19 year-old female patient referred to our department due to progressive corneal opacity in the left eye. She did not have significant past or family histories of corneal diseases. Ocular examinations revealed the whitish corneal deposits with deep stromal vascularization in her left eye. For confirmation of the diagnosis, lamellar keratectomy with amniotic membrane transplantation was performed and deep stromal vessels were photocoagulated using an argon laser. Histologic findings were compatible with lipid degeneration. The corneal opacities reduced markedly and did not show any evidence of recurrence during the follow up period of six months. Therefore, we report this case with the review of the literature.

Keyword

Amniotic membrane transplantation; Keratectomy; Lipid degeneration; Photocoagulatio

MeSH Terms

Amnion*
Argon
Cornea
Corneal Diseases
Corneal Opacity
Diagnosis
Female
Follow-Up Studies
Humans
Keratoplasty, Penetrating
Light Coagulation*
Lipid Metabolism
Recurrence
Young Adult
Argon