PMC4592032_01
Slit-lamp photograph of the right eye.. Notes: (A) Slit-lamp photograph of the right eye. (B) Descemet's scroll, indicated by the arrowheads. (C) The Descemet's scroll appears as a translucent rod with a central core and (D) it extends into the anterior chamber.
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The Descemet's scrolls appeared as multiple translucent rods with a central gray core, and they were arranged in a web and extended into the anterior chamber (Figure 1).
Slit-lamp photograph of the left eye.. Note: (A) Slit-lamp photograph of the left eye (B) showing a fine Descemet's scroll and (C) stromal ghost vessels.
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The involvement in the left eye was milder, with fine retrocorneal scrolls but dense stromal ghost vessels (Figure 2).
Slit-lamp photograph.. Note: (A) Arrowhead shows pupillary membrane in the right eye and (B) Arrowheads show Koeppe nodules in the left eye.
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A pupillary membrane was also present in the right eye and Koeppe nodules were evident in the left eye (Figure 3).
OD and OS confocal microscopy show endothelial pleomorphism and polymegathism (40x).. Abbreviations: OD, right eye; OS, left eye.
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No guttae were observed (Figure 4).
Confocal microscopy of the right eye shows a Descemet's scroll.. Notes: The scrolls appeared as (A and B) tubular structures with (C) outer hyperreflectivity and inner hyporeflectivity. (D) Some areas show cellular components on the surface.
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Some areas had cellular components on the surface (Figure 5).
OD and OS AS-OCT and OD ultrasound biomicroscope.. Notes: (A) OD and (B) OS AS-OCT show a thickened Descemet's membrane; (A) the scroll extended from the posterior corneal surface into the anterior chamber. Arrowhead shows the rod-shaped Descemet's scroll. (C and D) UBM of the right eye shows Descemet's scrolls. Arrowheads show the rod-shaped Descemet's scroll.. Abbreviations: OD, right eye; OS, left eye; AS-OCT, anterior segment optical coherence tomography; UBM, ultrasound biomicroscopy.
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There was no stromal opacity and the central cornea was 494 microns thick (Figure 6A and B).