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Article Synopsis
  • Corneal dystrophies are hereditary, non-inflammatory disorders affecting the cornea, with various types including Reis-Bücklers, Thiel-Behnke, and lattice corneal dystrophies.
  • Treatment options for visual impairment vary, often involving phototherapeutic keratectomy (PTK) or corneal transplantation, with PTK being ideal for anterior deposits found in Reis-Bücklers and Thiel-Behnke.
  • For other types like lattice and Schnyder dystrophy, PTK may offer temporary relief, but multiple treatments or transplants might be necessary due to recurrence.
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Femtosecond laser assisted superficial lamellar keratectomy as a successful treatment of corneal opacity in a patient with Thiel Behnke corneal dystrophy.

Int J Surg Case Rep

June 2022

Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia; King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia; Department of Pathology & Laboratory Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia. Electronic address:

Introduction And Importance: Thiel Behnke corneal dystrophy (TBCD) and Reis Buckler corneal dystrophy (RBCD) are Bowman's layer dystrophies with overlapping clinical features causing diagnostic confusion. However, each entity has typical histopathological features. We describe in this case the successful use of Femtosecond laser (FSL) in the treatment of TBCD-related corneal opacity.

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Purpose: To investigate in vivo corneal changes of genetically confirmed Reis-Bücklers corneal dystrophy (RBCD) and Thiel-Behnke corneal dystrophy (TBCD) using anterior segment optical coherence tomography (AS-OCT).

Design: A single-center, prospective, comparative case series.

Methods: Seven patients from 3 pedigrees (3 males, 4 females) with RBCD [Arg124Leu (R124L) heterozygous missense mutation of human transforming growth factor beta-induced () gene] and 4 patients from 3 pedigrees (3 males, 1 female) with TBCD [Arg555Gln (R555Q) heterozygous missense mutation of gene] were examined.

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Clinical and genetic update of corneal dystrophies.

Exp Eye Res

September 2019

Dept of Ophthalmology, Pathology, and Pharmacology, Louisiana State University, School of Medicine, New Orleans, USA. Electronic address:

The International Committee for Classification of Corneal Dystrophies (IC3D) distinguishes between 22 distinct forms of corneal dystrophy which are predominantly autosomal dominant, although autosomal recessive and X-chromosomal dominant patterns do exist. Before any genetic examination, there should be documentation of a detailed corneal exam of as many affected and unaffected family members as possible, because detailed phenotypic description is essential for accurate diagnosis. Corneal documentation should be performed in direct and indirect illumination at the slit lamp with the pharmacologically dilated pupil.

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