Ophthalmology in images
The epithelial great wave: a case of limbal stem cell deficiency
La gran ola epitelial: un caso de insuficiencia límbica
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"apellidos" => "Puig-Galy" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Ophthalmology, Hospital Universitari Vall d'Hebrón, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Ophthalmology, Innova Ocular ICO Barcelona, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Ophthalmology, Centro de Oftalmología Barraquer, Barcelona, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Institut Universitari Barraquer, Universitat Autònoma de Barcelona, Barcelona, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "La gran ola epitelial: un caso de insuficiencia límbica" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1180 "Ancho" => 1600 "Tamanyo" => 149226 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Male, 44, with congenital glaucoma managed with trabeculectomy, who presented with limbal stem cell insufficiency secondary to trachoma, treated with lubricants and occasional corticosteroids. Examination revealed upper corneal conjunctivalization and a characteristic keratopathy in the form of a vortex or wave. Limbic insufficiency was the cause of conjunctivalization and epithelial dysfunction, causing redness, discomfort and reduced vision. The patient's condition and history, including anti-glaucoma treatment and trachoma, are known factors contributing to its occurrence.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The keratopathy in this case is reminiscent of <span class="elsevierStyleItalic">The Great Wave of Kanagawa,</span> the iconic work of a world-renowned Japanese artist. This case poignantly underscores the unexpected beauty found in everyday clinical practice.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">This research complied with the principles of the Helsinki Declaration and informed consent was obtained from the patient.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">This study was not funded or supported by grants.</p></span><span id="sec1020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect1040">Conflict of interests</span><p id="par1100" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec1020" "titulo" => "Conflict of interests" ] 2 => array:1 [ "titulo" => "Reference" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1180 "Ancho" => 1600 "Tamanyo" => 149226 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Global consensus on definition, classification, diagnosis, and staging of limbal stem cell deficiency" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S.X. Deng" 1 => "V. Borderie" 2 => "C.C. Chan" 3 => "R. Dana" 4 => "F.C. Figueiredo" 5 => "J.A.P. Gomes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Cornea." "fecha" => "2019" "volumen" => "38" "numero" => "3" "paginaInicial" => "364" "paginaFinal" => "375" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735794/0000009900000003/v1_202403010854/S2173579424000148/v1_202403010854/en/main.assets" "Apartado" => array:4 [ "identificador" => "96912" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Opthamology in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735794/0000009900000003/v1_202403010854/S2173579424000148/v1_202403010854/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173579424000148?idApp=UINPBA00004N" ]
