J Korean Ophthalmol Soc > Volume 54(4); 2013 > Article
Journal of the Korean Ophthalmological Society 2013;54(4):667-670.
DOI: https://doi.org/10.3341/jkos.2013.54.4.667    Published online April 30, 2013.
Lattice Corneal Dystrophy, Gelsolin Type: The First Case Report in Korea.
Tae Hyup Kim, Ji Hyun Bae, Dong Hui Lim, Eui Sang Chung, Tae Young Chung
Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. tychung@skku.edu
겔솔린형 격자 각막 이영양증 1예
김태협⋅배지현⋅임동희⋅정의상⋅정태영
Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Abstract
PURPOSE
To report the first case of lattice corneal dystrophy, gelsolin type in Korea. CASE SUMMARY: A 61-year-old man visited our clinic with severe dry eye symptom in both eyes. Clinical examination revealed in both eyes a visual acuity of 0.7 without correction and intraocular pressure of 18 mm Hg. On slit-lamp examination, both corneas had scattered lattice lines at various depths within the stroma with punctate epithelial erosions. The patient had characteristic features of Meretoja syndrome, including cranial neuropathy characterized by dermatochalasis and facial weakness, and was positive for the gelsolin mutation according to DNA analysis. This is the first description of a patient with lattice corneal dystrophy, gelsolin type in Korea. CONCLUSIONS: This is the first description of a patient with lattice corneal dystrophy, gelsolin type in Korea and demonstrates the importance of recognizing the systemic and ophthalmic features for appropriate management of the condition.
Key Words: Amyloidosis;Gelsolin;Lattice corneal dystrophy;Meretoja syndrome


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