PMC4445867_01
Findings in a patient with a white corneal plaque on the right eye at initial examination.. Notes: Entropion is present bilaterally and the eyelashes from both the upper and lower lids can be seen touching the cornea (A, right eye; B, left eye). The white patches are limited to the corneal surface (C). Fluorescein is shed on the surface of these patches, and superficial punctate epithelial defects are seen surrounding the lesion (D).
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She was noted to have entropion of the upper and lower eyelids bilaterally, and the eyelashes were seen to touch the corneal surface whenever she blinked (Figure 1A and B). A discrete whitish patch or plaque was observed on the right corneal surface, which was associated with an invasion of blood vessels from the limbus (Figure 1C). Fluorescein staining revealed punctate epithelial defects around the whitish plaque, and the tear film was shed on the surface of the plaque (Figure 1D).
Findings 7 weeks after plastic surgery of the right eyelid (6 months after first visit).. Note: There is a decrease in the size of the white patches (A), and the hyperfluorescence surrounding the lesion indicates that the edge is lifted up (B).
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Seven weeks after the plastic surgery on the right eye, the whitish plaque was smaller (Figure 2A and B), and her visual acuity was improved to 0.3 (with 0.7x-3.0 D).