Can unilateral lattice dystrophy be triggered by cataract surgery in an elderly patient?

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dc.authoridkorkmaz, ilayda/0000-0001-8043-8632
dc.contributor.authorKorkmaz, Ilayda
dc.contributor.authorBarut Selver, Ozlem
dc.date.accessioned2024-08-31T07:47:00Z
dc.date.available2024-08-31T07:47:00Z
dc.date.issued2024
dc.departmentEge Üniversitesien_US
dc.description.abstractPurposeAim is to report unilateral lattice corneal dystrophy (LCD) possibly triggered after cataract surgery in an elderly patient and to demonstrate anterior segment optic coherence tomography (AS-OCT) findings.Case ReportA 77-year-old male presented with irritation and photophobia in the left eye. His medical history revealed that the patient had undergone cataract surgery on the left eye 5 months ago and his symptoms exaggerated after the surgery. Best corrected visual acuity (BCVA) was 20/32 in OD and 20/63 in OS. Slit lamp examination indicated clear cornea with nuclear sclerosis in the right eye, multiple fine lattice lines at the level of middle stroma in the left eye. The lattice lines extended radially but did not involve the limbus. The overlying epithelium was intact. AS-OCT was consistent with LCD in the left eye with the presence of hyperreflective material at the level of the middle stroma. In contrast, AS-OCT in the right eye showed a normal, healthy cornea.ConclusionLCD is an inherited disease that can rarely present with unilateral involvement. Apart from its unilaterality and lack of limbal-limbal extension, the time of onset of the lattice lines is another distinguishing feature of this case report. Herein, clinical findings appeared at an older age compared to the literature. In addition, the occurrence of findings after phacoemulsification surgery has raised the question that environmental factors may trigger the emergence of unilateral LCD in patients with genetic predisposition. It is not yet known whether unilateral LCD is an asymmetric and asynchronous presentation of bilateral LCD or a different entity triggered by external factors. AS-OCT enables to demonstrate the corneal microstructural changes, and confirm the diagnosis of unilateral LCD by showing that the fellow eye is healthy.en_US
dc.identifier.doi10.1080/08164622.2024.2367628
dc.identifier.issn0816-4622
dc.identifier.issn1444-0938
dc.identifier.scopus2-s2.0-85196278228en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1080/08164622.2024.2367628
dc.identifier.urihttps://hdl.handle.net/11454/104278
dc.identifier.wosWOS:001250500100001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofClinical and Experimental Optometryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240831_Uen_US
dc.subjectAnterior Segment Optic Coherence Tomographyen_US
dc.subjectCorneal Dystrophyen_US
dc.subjectLatticeen_US
dc.subjectUnilateralen_US
dc.titleCan unilateral lattice dystrophy be triggered by cataract surgery in an elderly patient?en_US
dc.typeArticleen_US

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