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Temporary Myopic Shift in a Patient with Multiple Parallel-Line Endotheliitis.
Jee Hye Lee1, Yongsun Ahn2, Ji Min Park1
1Department of Ophthalmology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, South Korea.
Case Reports in Ophthalmology
|February 6, 2023
Summary
This case study highlights multiple parallel-line endotheliitis, a rare condition causing temporary myopic shift and blurred vision. Prompt treatment with topical steroids effectively resolved symptoms, though endothelial cell loss requires ongoing monitoring.
Area of Science:
- Ophthalmology
- Corneal Diseases
- Uveitis
Background:
- Multiple parallel-line endotheliitis is a rare inflammatory condition affecting the corneal endothelium.
- This condition can manifest with symptoms such as blurred vision and corneal edema.
- Associated refractive changes, particularly myopic shift, have not been previously documented.
Observation:
- A 36-year-old male presented with blurred vision and a significant myopic shift in his left eye.
- Slit lamp examination revealed characteristic multiple parallel lines of keratic precipitates and corneal edema.
- Specular microscopy indicated corneal endothelial cell loss.
Findings:
- The patient exhibited a myopic shift from -9.25 D to -11.875 D.
- Treatment with a weak topical steroid led to complete resolution of keratic precipitates and corneal edema within 2 days.
- The myopic shift reversed to -10.0 D post-treatment.
Implications:
- Multiple parallel-line endotheliitis is responsive to topical steroid therapy.
- A temporary myopic shift associated with this condition can be reversible.
- Corneal endothelial cell loss is a potential long-term consequence requiring careful patient monitoring.
Keywords:
Corneal endotheliumEndotheliitisKeratic precipitatesMultiple parallel-line endotheliitisMyopic shiftMore Related Videos
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