Histopathologic study of corneal stromal dystrophies - A 10-year experience

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2007-10-01
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Santos, Leonardo Noleto Negry [UNIFESP]
Fernandes, Bruno Franco [UNIFESP]
Moura, Leticia Rielo de [UNIFESP]
Cheema, Devinder P.
Maloney, Shawn
Logan, Patrick
Burnier Júnior, Miguel Noel Nascente [UNIFESP]
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Purpose: To determine the frequency and describe the histopathologic features of stromal corneal dystrophies over a 10-year period.Methods: A single-centered, retrospective analysis was performed on corneal specimens diagnosed as stromal dystrophies retrieved from the Henry C. Witelson Ophthalmic Pathology Laboratory and Registry (Montreal, Canada) over a period of 10 years. Corneal specimens obtained during keratoplasty were subjected to hematoxylin and eosin, periodic acid-Schiff, and other special staining.Results: During the period of the study, 885 corneal specimens from penetrating keratoplasties were received. Twenty-six (2.9%) specimens from a total of 22 patients showed stromal corneal dystrophies: 17 (65.4%) eyes with lattice dystrophy, 5 (19.2%) eyes with combined granular/lattice (Avellino) dystrophy, 3 (11.5%) eyes with granular dystrophy, and 1 (3.9%) eye with macular dystrophy.Conclusions: Corneal stromal dystrophies have distinct histopathologic features, which can be diagnosed with routine and special staining, particularly for combined granular/lattice (Avellino) dystrophy. Clinically, combined granular/lattice (Avellino) dystrophy can have features of both lattice and granular dystrophies, which can be misleading for diagnosis. Lattice dystrophy was the most frequent stromal dystrophy in this particular population.
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Cornea. Philadelphia: Lippincott Williams & Wilkins, v. 26, n. 9, p. 1027-1031, 2007.
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