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本文对6世代家族性角膜格子样营养不良的1家系(在77例中有23例)中之两例进行角膜内皮显微镜检查(Specular microscopy)并与裂隙灯的观察进行了比较研究。病例1:女性,57岁。双眼视力障碍,10岁以后即加重。5年前双眼曾做晶体摘出术。初诊时视力,双眼均为0.03。在角膜中央部上皮下可见半透明的白色混浊。角膜内皮显微镜检查,上皮有半亮细胞、暗细胞以及介于二者之间的细胞,此外尚有反光很强的细胞。在实质层可见格子样病变。内皮细胞大小不一,细胞数量减少。
In this paper, two of the 6 families of familial kyphosis-like dystrophies in the 6th generation (23 out of 77) were examined by Specular microscopy and compared with slit lamp observation. Case 1: Female, 57 years old. Binocular vision disorders, after 10 years of age that aggravate. 5 years ago, both eyes had done a crystal extraction surgery. Visual examination at first visit, both eyes were 0.03. Translucent white turbid visible in the central cornea subcutaneous. Corneal endothelium microscopy, the epithelial half-bright cells, dark cells and cells in between the two, in addition there are still highly reflective cells. In the real layer visible lattice-like lesions. Endothelial cells vary in size and number of cells decreases.