{"title":"Spontaneous intercalated corneal epithelial folds in thyroid eye disease: a case report","authors":"Chi-Ying Christine Lam, K. Chong","doi":"10.12809/hkjo-v24n2-274","DOIUrl":null,"url":null,"abstract":"We observed an under-recognized, ethnic-related sign in thyroid eye disease in a 41-year-old Chinese woman. Spontaneous corneal epithelial folds form after fluorescein staining as a result of tear film disruption related to orbital tension and upper lid pressure on the cornea. They occur in anatomically predisposed eyes similar to acquired lower lid epiblepharon. Like their chorioretinal counterparts, presence of corneal epithelial folds prompt for further workup, even in East Asian patients whose thyroid eye changes may appear less impressive.","PeriodicalId":90844,"journal":{"name":"Hong Kong journal of ophthalmology : the official publication of the College of Ophthalmologists of Hong Kong = Xianggang yan ke xue kan : Xianggang yan ke yi xue yuan","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2020-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hong Kong journal of ophthalmology : the official publication of the College of Ophthalmologists of Hong Kong = Xianggang yan ke xue kan : Xianggang yan ke yi xue yuan","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12809/hkjo-v24n2-274","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2
Abstract
We observed an under-recognized, ethnic-related sign in thyroid eye disease in a 41-year-old Chinese woman. Spontaneous corneal epithelial folds form after fluorescein staining as a result of tear film disruption related to orbital tension and upper lid pressure on the cornea. They occur in anatomically predisposed eyes similar to acquired lower lid epiblepharon. Like their chorioretinal counterparts, presence of corneal epithelial folds prompt for further workup, even in East Asian patients whose thyroid eye changes may appear less impressive.
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