Koinzer S, Löffler K. [Histological diagnostics of enucleated eyes].
DER PATHOLOGE 2015;
36:397-408; quiz 409-10. [PMID:
26154678 DOI:
10.1007/s00292-015-0037-8]
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Abstract
Enucleated eyeglobes represent a challenge for the pathologist, as their appraisal requires specific ophthalmological knowledge. Part 1 of this CME article dealt with macroscopic findings in eyeglobes, in order to facilitate adequate cutting planes to retrieve pathologies histologically. Part 2 which is presented here teaches basic histology of eye-specific tissues (e.g., cornea, anterior chamber angle, retina, and optic nerve). Theses structures show typical changes in blinded eyes. Knowledge of these changes, together with awareness of fundamental ophthalmic disease entities and surgical strategies (see part 1), will many times allow to deduce the pathophysiology that finally culminated in blindness and enucleation. Disease entities more closely discussed in this article include corneal ulcers, rubeotic secondary glaucomas, and chronic degenerative retinal diseases.
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