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Corneal microcysts

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  • Corneal microcysts

    What what what?

    I'm at work... on the way my eye started to feel sore, I'm having a very mild erosion. Sat in a room on my own for ten minutes - it's bearable so I'm ploughing on.

    I Googled 'corneal erosion' so I can send my employer a link so he knows what's going on, and it came up with this new link about corneal microcysts, the doc did mention microcysts and draws dots all over the drawings he does of my corneas, so I think this might be what I have.

    But I thought I understood it! I thought I had tiny 'blistered' patches where the epithelium came loose occasionally, and there were tiny water droplets (called microcysts) underneath my epithelium where the loose connection was.

    Apparently not.

    Aargh.

    http://www.patient.co.uk/showdoc/40001908/

    Corneal Microcysts
    Description

    These are tiny cystic vesicles present on the outer (epithelial) surface of the cornea. They can arise in a number of different conditions:

    * Associated with contact lens wear1
    * Associated with (recurrent) corneal erosion syndrome2
    * Associated with certain corneal dystrophies (epithelial basement membrane dystrophy - EBMD or Cogan's microcystic corneal dystrophy and Meesmann dystrophy)3
    * They have been more recently associated with interferon therapy4
    * They may be found in pre-invasive carcinoma of the cornea5

    Epidemiology

    This varies with the aetiology, the most common being microcysts associated with contact lens wear.

    Presentation

    Some may be asymptomatic. Others may cause ocular irritation or transient blurred vision and - if they rupture - cause painful corneal erosions which show up as punctate epithelial erosions (there will be scattered pinpoints of fluorescein uptake across the corneal surface).

  • #2
    Thanks for a good resource, McGoldilocks. This answers the question raised in another thread about RCE's in childhood among other causes. I looked up "Meesmann dystrophy".

    --Liz

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