title: Recurrent advancing wavelike epitheliopathy from the opposite side of the initial presentation.
abstract: OBJECTIVE
  To report an unusual case of advancing wavelike epitheliopathy that recurred at a site opposite to the initially affected site.
  
  
  METHODS
  Single interventional case report. This report describes a 50-year-old woman who presented with advancing, wavelike epitheliopathy of her right eye that lasted 2 months.
  
  
  RESULTS
  Slit-lamp biomicroscopy revealed wavy, coarse, irregular epithelium extending from the upper limbus to the central cornea. Confocal microscopy revealed abnormal basal epithelial cells with a loss of cellular borders and hyperreflective nuclei. Application of 1% silver nitrate solution onto the superior limbus effectively treated this condition. However, wavy, irregular epithelium was observed 2 years later in the lower limbus.
  
  
  CONCLUSIONS
  Advancing wavelike epitheliopathy can occur from the lower limbus and recur from the opposite side of the initial presentation, even after successful treatment with 1% silver nitrate solution.
authors.affiliation: Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan.
authors.forename: Yu-Hsun
authors.initials: YH
authors.lastname: Huang
authors.forename: Hsiao-Sang
authors.initials: HS
authors.lastname: Chu
authors.forename: Fung-Rong
authors.initials: FR
authors.lastname: Hu
authors.forename: I-Jong
authors.initials: IJ
authors.lastname: Wang
authors.forename: Yu-Chi
authors.initials: YC
authors.lastname: Hou
authors.forename: Wei-Li
authors.initials: WL
authors.lastname: Chen
mesh_terms: D003316:Corneal Diseases / Q000175:diagnosis* / Q000188:drug therapy; D003646:Debridement; D019573:Epithelium, Corneal / Q000187:drug effects / Q000473:pathology*; D005260:Female; D006801:Humans; D016850:Limbus Corneae / Q000473:pathology; D018613:Microscopy, Confocal; D008875:Middle Aged; D012008:Recurrence; D012835:Silver Nitrate / Q000008:administration & dosage
chemical_list: D012835:Silver Nitrate