PMC3357933_01
(a and b) Inferior white corneal infiltrates bilaterally in a crescent shape inferotemporally. (c and d) Progression to a complete bilateral annular lipid infiltration in the stroma of both eyes with cholesterol crystals in the paracentral area. (e and f) Confocal microscopy revealed crystalline structures in the stroma bilaterally.
CRIM.OPHMED2012-731413.001.jpg
PMC3357933_01_CRIM.OPHMED2012-731413.001.jpg
fig1
Examination showed inferior white infiltrates in both eyes in a crescent shape inferotemporally (Figures 1(a) and 1(b)). A central area of the cornea of about 2 mm in the right eye and 1 mm in the left were clear of cholesterol crystals but showed a faint haze in both eyes (Figures 1(c) and 1(d)). Confocal microscopy revealed highly reflective crystalline structures in the anterior and middle stroma of both eyes (Figures 1(e) and 1(f)).
PMC3357933_02
(a and b) Annular lipid infiltration in the corneal stroma of both eyes with cholesterol crystals in the paracentral area and deep corneal blood vessels from the limbus to the deposits. (c and d) Progression of the infiltration in both eyes, threatening the visual axis. (e and f) Confocal microscopy revealed crystalline structures in the stroma bilaterally.
CRIM.OPHMED2012-731413.002.jpg
PMC3357933_02_CRIM.OPHMED2012-731413.002.jpg
fig2
The central cornea area of about 6 mm was clear in both eyes (Figures 2(a) and 2(b)). At present, slit-lamp examination reveals progression of the infiltration in both eyes, threatening the visual axis (Figures 2(c) and 2(d)). Confocal microscopy revealed crystalline-like structures in the stroma bilaterally (Figures 2(e) and 2(f)).