PMC9178995_01
(A) Slit lamp photo of anterior segment showing central diffuse corneal edema with descemet folds and (B) AS-OCT at the time of presentation showing a significant corneal edema with descemet folds.
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The anterior segment examination demonstrated a central corneal epithelial defect with marked corneal stromal edema and descemet folds (Figure 1A). Anterior segment optical coherence tomography (AS-OCT) demonstrated profound corneal stromal edema with descemet folds and a thickness of 999 microm (Figure 1B).
(A) Slit lamp photo of anterior segment at 6 months showing clear cornea and (B) AS-OCT at 6 months demonstrates decreased corneal thickness.
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Six months later, the previously noted corneal edema has resolved (Figure 2A and B), repeated specular microscopy revealed a decreased central endothelial cell count of 1611/mm2 (Table 1). and the visual acuity has recovered to 20/30.
Specular microscopy of the right eye demonstrates normal corneal endothelial cell count.
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Specular microscopy of the un-injured right eye demonstrated a normal endothelial cell count (Figure 3).