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Related Experiment Video

Updated: Jun 21, 2026

Anterior High-Resolution Optical Coherence Tomography in the Diagnosis and Therapeutic Monitoring of Ocular Surface Squamous Neoplasia

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Bilateral horizontal Vogt's striae in keratoconus.

Inci Ulu Güngör¹, Umit Beden, Bariş Sönmez

¹Ondokuz Mayis University, School of Medicine, Department of Ophthalmology, Samsun, Turkey.

Clinical Ophthalmology (Auckland, N.Z.)

|August 12, 2009

Summary

This study reports a rare case of keratoconus (an eye condition) presenting with bilateral horizontal Vogt

Area of Science:

Ophthalmology
Corneal Diseases
Ocular Imaging

Background:

Keratoconus is a progressive thinning of the cornea, leading to irregular astigmatism.
Vogt's striae are fine, stress-induced lines in Descemet's membrane, typically vertical.
Horizontal Vogt's striae are exceptionally rare, with only one prior case reported unilaterally.

Observation:

A case of keratoconus is presented with a unique finding of horizontal Vogt's striae.
These striae were observed bilaterally in both eyes of the patient.
Slit-lamp biomicroscopy was utilized for detailed clinical examination.

Findings:

The patient exhibited horizontal Vogt's striae, deviating from the typical vertical presentation.
This bilateral occurrence is unprecedented in existing literature.

Keywords:

Vogt’s striae horizontal stress lines keratoconus

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The findings highlight variability in the manifestation of corneal stress lines in keratoconus.

Implications:

The presence of horizontal Vogt's striae should be considered in the diagnosis of keratoconus.
This finding expands the spectrum of slit-lamp biomicroscopic signs associated with keratoconus.
Further research may elucidate the specific mechanisms causing horizontal striae in keratoconus.