病人為一位十七歲之女性,因為角膜糜爛來求診。發現其兩眼之角膜均有灰白色、瀰漫性之斑塊及小白點,位於其表皮層內。同時,家族史中亦有成員具有相同之變化。診斷為角膜表皮基膜失養症(Epithelial basement membrane dystrophy)。因此病在國內十分罕見,特提出臨床報告,並討論其治療情形。
Epithelial corneal dystrophy is a very rare disease which is characterized by maps, dots and fingerprints changes involving the central corneal epithelium binocularly. A 17 year-old female patient came to our hospital with the chief complaint of ocular irritation due to recur-rent corneal erosion. Slitlamp biomicroscopic examination & dominant family history supported the diagnosis. Literatures concerning about corneal dystrophy & the pathological changes of corneal epithelial dystrophy were reviewed.