甲状腺性眼病的自发性角膜上皮夹层1例

Hong Kong journal of ophthalmology : the official publication of the College of Ophthalmologists of Hong Kong = Xianggang yan ke xue kan : Xianggang yan ke yi xue yuan Pub Date : 2020-12-22 DOI:10.12809/hkjo-v24n2-274

Chi-Ying Christine Lam, K. Chong

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引用次数: 2

摘要

我们在一名41岁的中国妇女的甲状腺眼病中观察到一种被低估的、与种族有关的体征。荧光素染色后形成自发角膜上皮折叠，这是由于与眼窝张力和角膜上盖压力有关的泪膜破裂的结果。它们发生在解剖学上易感的眼睛中，类似于后天性下眼睑上睑下垂。与脉络膜视网膜病变一样，角膜上皮折叠的存在促使进一步的检查，即使在甲状腺眼变化可能不那么令人印象深刻的东亚患者中也是如此。

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Spontaneous intercalated corneal epithelial folds in thyroid eye disease: a case report

We observed an under-recognized, ethnic-related sign in thyroid eye disease in a 41-year-old Chinese woman. Spontaneous corneal epithelial folds form after fluorescein staining as a result of tear film disruption related to orbital tension and upper lid pressure on the cornea. They occur in anatomically predisposed eyes similar to acquired lower lid epiblepharon. Like their chorioretinal counterparts, presence of corneal epithelial folds prompt for further workup, even in East Asian patients whose thyroid eye changes may appear less impressive.

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Hong Kong journal of ophthalmology : the official publication of the College of Ophthalmologists of Hong Kong = Xianggang yan ke xue kan : Xianggang yan ke yi xue yuan

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