Features of the iridocorneal endothelial syndrome on confocal microscopy

Daniel C. Garibaldi, Oliver D. Schein, Albert Jun

Research output: Contribution to journalReview article

Abstract

Purpose: To present a subtle case of iridocorneal endothelial (ICE) syndrome and discuss the utility of in vivo confocal microscopy in the evaluation of this disorder. Previous reports of the confocal microscopic features of ICE syndrome are reviewed. Methods: A 32-year-old man presented with decreased vision and halos. Slit-lamp biomicroscopy and in vivo confocal microscopy were used to evaluate the etiology of his complaints. Clinical photographs and confocal micrographs were analyzed. Results: In vivo confocal microscopy revealed marked asymmetry between the right and left corneal endothelial layers with pleomorphic epithelioid cells on the right, some with hyperreflective nuclei. A transition between cells with uniform appearance and dark nuclei and a highly irregular cellular arrangement with hyperreflective nuclei was present. Conclusions: This report supports the clinical utility of in vivo confocal microscopy in the evaluation of ICE syndrome, it demonstrates that the histopathologic features of ICE syndrome on scanning electron microscopy may be shown clinically using high-resolution confocal microscopy.

Original languageEnglish (US)
Pages (from-to)349-351
Number of pages3
JournalCornea
Volume24
Issue number3
DOIs
StatePublished - Apr 1 2005

Keywords

  • Confocal microscopy
  • Cornea
  • Endothelium
  • Iridocorneal endothelial syndrome

ASJC Scopus subject areas

  • Ophthalmology

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