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Updated: Jul 15, 2025

Author Spotlight: Ex Vivo OCT-Based Multimodal Imaging of Human Donor Eyes for Research into Age-Related Macular Degeneration

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Published on: May 26, 2023

Advanced Anterior Eye Segment Imaging for Ichthyosis.

Anna Micińska¹, Anna Nowińska^1,2, Sławomir Teper^1,2

¹Ophthalmology Department, District Railway Hospital, 40-760 Katowice, Poland.

Journal of Clinical Medicine

|September 28, 2023

Summary

Ichthyosis patients often have dry eye disease and corneal irregularities. Early screening for these ocular surface and anterior segment abnormalities is crucial for timely management.

Keywords:

confocal microscopy cornea dystrophy ichthyosis ocular surface optical coherence tomography

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Area of Science:

Ophthalmology
Genetics
Dermatology

Background:

Ichthyoses are a group of genetic skin disorders characterized by dry, scaling skin.
Ocular surface and anterior segment manifestations are common but not fully characterized in various ichthyoses.
Early detection of ocular complications is vital for managing ichthyosis patients.

Purpose of the Study:

To describe ocular surface and anterior eye segment findings in patients with different types of ichthyoses.
To identify characteristic ocular abnormalities associated with ichthyosis.
To evaluate the utility of multimodal imaging in detecting preclinical ocular changes.

Main Methods:

Prospective observational study at a single center.
Inclusion of five patients (13-66 years) with ichthyosis.
Utilized multimodal imaging: slit-lamp examination, swept-source optical coherence tomography (SS-OCT), and in vivo confocal microscopy (IVCM).

Main Results:

All patients presented with moderate-to-severe dry eye disease (DED).
Significant corneal irregularity was observed, with notable differences in corneal thickness measurements (CAT vs. CTT > 375 µm).
Three patients showed ectasia patterns on SS-OCT, and all had corneal layer abnormalities on IVCM.

Conclusions:

Multimodal imaging effectively detects preclinical ocular abnormalities in ichthyosis patients.
Characteristic corneal changes, including ectasia and DED, are prevalent.
Routine ophthalmological examination for DED and ectatic disorders is recommended for early detection in ichthyosis patients.