title: OCT and in vivo confocal microscopy of a pigmented corneal tumor-like lesion.
abstract: A 43-year-old woman presented with a pigmented flat tumor situated at the posterior surface of the cornea nasally in her left eye. Anterior-segment optical coherence tomography revealed that the lesion was similar to the iris leaf, was limited to the cornea, and did not communicate with the iridocorneal angle. In vivo scanning slit confocal microscopy imaged dense hyperreflective tissue behind the endothelium and bright spots dispersed on the adjacent endothelial surface. Multiple hyporeflective formations resembling cell nuclei were visualized within the hyperreflective mass and the cell borders were distinguished. The diagnosis of pigmented nevus or retrocorneal membrane was suspected. The authors conclude that anterior-segment optical coherence tomography and in vivo scanning slit confocal microscopy are useful in assessing the microstructure and penetration of pigmented corneal lesions.
authors.affiliation: Department of Ophthalmology, Center of Biostructure Research, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Jacek P
authors.initials: JP
authors.lastname: Szaflik
authors.forename: Monika
authors.initials: M
authors.lastname: Oldak
authors.forename: Magdalena
authors.initials: M
authors.lastname: Ulinska
authors.forename: Magdalena
authors.initials: M
authors.lastname: Ulnska
authors.forename: Piotr
authors.initials: P
authors.lastname: Tesla
authors.forename: Jerzy
authors.initials: J
authors.lastname: Szaflik
mesh_terms: D000328:Adult; D002452:Cell Count; D003316:Corneal Diseases / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004728:Endothelium, Corneal / Q000473:pathology*; D005134:Eye Neoplasms / Q000175:diagnosis*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D018613:Microscopy, Confocal / Q000379:methods*; D009508:Nevus, Pigmented / Q000175:diagnosis*; D041623:Tomography, Optical Coherence / Q000379:methods*