Bilateral Horizontal Vogt’s Striae: A Case Report

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Karjou Zahra; Mohammadzadeh Amir; Sharifi Meysam; Mohammad Rabei Hossein

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Journal Paper

Paper Information

Journal: Journal of Ophthalmic and Optometric Sciences Year:2024 | Volume:8 | Issue:3 Page(s): 45-49

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Information Journal Paper

Title

Bilateral Horizontal Vogt’s Striae: A Case Report

Author(s)

Karjou Zahra | Mohammadzadeh Amir | Sharifi Meysam | Mohammad Rabei Hossein | Issue Writer Certificate

Keywords

Bilateral

Horizontal

Vogt’s Striae

Case

Abstract

Case Report: A 30-year-old male presented with progressive blurred vision and a suspected family history of KCN. Clinical examination revealed high astigmatism, a scissor reflex on retinoscopy, and fine Horizontal striae in the posterior stroma and Descemet’s membrane of both corneas, resembling Vogt’s Striae. Pentacam imaging confirmed the diagnosis of KCN, demonstrating central corneal thinning, elevated front and back elevation maps, and high dioptric power points in the curvature map of both eyes. Due to intolerance to rigid gas permeable (RGP) lenses, deep anterior lamellar keratoplasty (DALK) was performed as the definitive treatment. Conclusion: This Case highlights a rare Bilateral presentation of Horizontal Vogt’s Striae in KCN, an uncommon slit-lamp finding. The presence of these atypical stress lines may be attributed to mechanical stretching or corneal distortion induced by the cone. Recognizing such rare variations can enhance the understanding of KCN pathophysiology and aid in its clinical diagnosis and management.

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