論文

査読有り 国際共著 国際誌
2021年12月1日

Radial Endothelial Striae Over 360 Degrees in Fuchs Corneal Endothelial Dystrophy: New Pathophysiological Findings.

Cornea
  • Gilles Thuret
  • ,
  • Anthony Ain
  • ,
  • Noriko Koizumi
  • ,
  • Naoki Okumura
  • ,
  • Philippe Gain
  • ,
  • Zhiguo He

40
12
開始ページ
1604
終了ページ
1606
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1097/ICO.0000000000002666

PURPOSE: To report evidences that the abnormal endothelium of some Fuchs endothelial corneal dystrophy (FECD) present centripetal radial lines over 360 degrees. METHODS: A case report of retroilluminated pictures of 2 patients with FECD and flat mounts of isolated Descemet membranes of 1 patient with FECD and of 1 healthy donor. Interpretation and development of a new pathophysiological theory. RESULTS: The 3 FECD images unequivocally demonstrate the existence of very numerous radial centripetal lines over 360 degrees, in the central 8 to 9 mm of the cornea and ending in the area of maximum guttae concentration. These lines resemble, in a much longer length, the physiological striae that we described in 2012 at the periphery of the endothelium of normal corneas. CONCLUSIONS: We suppose that these lines reflect an accelerated migration of a population of pathological endothelial cells that deposit collagen on their path before being slowed down and then blocked in the center, explaining the progressive accumulation of guttae in this area. This new migration theory assumes that FECD behaves as a corneal endothelial stem-cell disease.

リンク情報
DOI
https://doi.org/10.1097/ICO.0000000000002666
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33591033
ID情報
  • DOI : 10.1097/ICO.0000000000002666
  • PubMed ID : 33591033

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