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[Primary lipid keratopathy].

Christoph W Spraul1, Hans E Grossniklaus, Gerhard K Lang

  • 1Universitäts-Augenklinik Ulm. christoph.spraul@medizin.uni-ulm.de

Klinische Monatsblatter Fur Augenheilkunde
|January 28, 2003
PubMed
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This study reports a rare case of primary lipid keratopathy, a corneal condition causing reduced vision, in a 73-year-old man. Histologic examination confirmed lipid deposits in the cornea without known underlying causes.

Area of Science:

  • Ophthalmology
  • Corneal Diseases
  • Histopathology

Background:

  • A 73-year-old male presented with progressive bilateral visual acuity reduction over 20 years.
  • Ophthalmologic examination showed central corneal stromal opacifications and cataracts.
  • Patient history included childhood polio and treated hypertension.

Observation:

  • Corneal stromal opacifications were denser centrally.
  • Cataractous changes were also noted.
  • Histologic examination of the corneal button was performed after a triple procedure.

Findings:

  • Histopathology confirmed the presence of lipid keratopathy.
  • The patient lacked typical risk factors such as corneal vascularization, chronic inflammation, or systemic lipid metabolism disorders.

Related Experiment Videos

  • Diagnosis of primary lipid keratopathy was established.

    • Implications:

    • Primary lipid keratopathy is a rare corneal condition.
    • Its pathogenesis is not fully understood but may involve corneal keratocytes.
    • This case highlights the importance of considering primary lipid keratopathy in the absence of secondary causes.