Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance
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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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Epithelial pseudokeratoconus

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Session Details

Session Title: Presented Poster Session: Medical Cornea

Session Date/Time: Saturday 10/09/2016 | 09:30-11:00

Paper Time: 10:20

Venue: Poster Village: Pod 3

First Author: : J.Hoyos-Chacon SPAIN

Co Author(s): :    M. Cigales   J. Hoyos           

Abstract Details

Purpose:

To present a differential diagnosis of keratoconus in one case of long term pseudokeratoconus due to an epithelial irregularity

Setting:

Instituto Oftalmologico Hoyos. Barcelona (Spain)

Methods:

A fifty-four-year old patient with a history of loss of vision in the last 4 years in the right eye and keratoconus diagnosis. UCVA was 20/100 and BCVA was 20/25 with a refraction of (-1 -3 x 90ยบ). The left eye was plano with 20/20 vision. Anterior corneal topography showed a keratoconus image in the right eye. Slit-lamp examination revealed a subepithelial abnormality in the pupillary area. Corneal OCT showed the epithelium not well adhered to the basal membrane and the corneal thickness was normal. We established the diagnosis of epithelial pseudokeratoconus induced by an asymptomatic recurrent corneal erosion syndrome

Results:

We treated this case by mechanical epithelium debridement and patching with a therapeutic contact lens until complete re-epithelialization. One month later UCVA was 20/20 and corneal topography was normal

Conclusions:

A differential diagnosis between keratoconus and epithelial pseudokeratoconus must be taken into account because any irregularity of the cornea could induce topography and refraction similar to keratoconus

Financial Disclosure:

NONE

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