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Ophthalmic Images
June 8, 2017

Peripheral Hypertrophic Subepithelial Corneal Degeneration

Author Affiliations
  • 1Department of Ophthalmology, University of Lübeck, Lübeck, Germany
  • 2Laboratory for Angiogenesis and Ocular Cell Transplantation, University of Lübeck, Lübeck, Germany
JAMA Ophthalmol. 2017;135(6):e170664. doi:10.1001/jamaophthalmol.2017.0664

A woman in her 40s with an unremarkable medical history presented with bilateral blurred vision. Visual acuity was 20/40 OU. Slitlamp examination revealed bilateral peripheral corneal fibrosis and nasal superficial vascularization resembling a pseudopterygium. Corneal topography identified irregular astigmatism (5.9 diopters [D] OD; 7.7 D OS), and optical coherence tomography showed focal hyperreflectivity as well as subepithelial nodules (Figure, A).

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