Recurrent advancing wavelike epitheliopathy from the opposite side of the initial presentation.
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.
Huang
Yu-Hsun
YH
Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan.
Chu
Hsiao-Sang
HS
Hu
Fung-Rong
FR
Wang
I-Jong
IJ
Hou
Yu-Chi
YC
Chen
Wei-Li
WL
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
D012835:Silver Nitrate