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Recurrent advancing wavelike epitheliopathy from the opposite side of the initial presentation
Yu-Hsun Huang1, Hsiao-Sang Chu, Fung-Rong Hu
1Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan.
Purpose:
To report an unusual case of advancing wavelike epitheliopathy that recurred at a site opposite to the initially affected site.
Methods:
Single interventional case report. This report describes a 50-year-old woman who presented with advancing, wavelike epitheliopathy of her right eye that lasted 2 months.
Results:
Slit-lamp biomicroscopy revealed wavy, coarse, irregular epithelium extending from the upper limbus to the central cornea. Confocal microscopy revealed abnormal basal epithelial cells with a loss of cellular borders and hyperreflective nuclei. Application of 1% silver nitrate solution onto the superior limbus effectively treated this condition. However, wavy, irregular epithelium was observed 2 years later in the lower limbus.
Conclusions:
Advancing wavelike epitheliopathy can occur from the lower limbus and recur from the opposite side of the initial presentation, even after successful treatment with 1% silver nitrate solution.
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