Supplementary Material for: Temporary Myopic Shift in a Patient with Multiple Parallel-Line Endotheliitis

Here, we report the case of a patient with multiple parallel-line endotheliitis with myopic shift, which has not been previously reported. A 36-year-old man visited our clinic with blurred vision in his left eye. A slit lamp examination revealed an interesting pattern of multiple parallel lines of keratic precipitates, along with subtle corneal edema. The spherical equivalents measured in the right and left eyes were -9.25 and -11.875 diopter, respectively, with the left eye showing more myopic progression. On specular microscopy, endothelial cell loss was found in the left eye. After administration of a weak topical steroid, keratic precipitates and corneal edema resolved completely within 2 days. The myopic shift in his left eye recovered to -10.0 diopters. Multiple parallel-line endotheliitis can be easily treated with a weak topical steroid in a short period. A temporary myopic shift may occur, which in this case resolved upon disease recovery. However, corneal endothelial cell loss is inevitable; therefore, careful monitoring is needed.

本次研究报道1例既往未见报道的伴近视漂移的多平行线型内皮炎（multiple parallel-line endotheliitis）病例。1名36岁男性因左眼视物模糊就诊于我院门诊。裂隙灯显微镜检查可见特征性多平行线状角膜后沉着物（keratic precipitates），同时伴轻度角膜水肿。双眼等效球镜度分别为-9.25屈光度与-11.875屈光度，左眼近视进展程度更显著。角膜内皮镜检查提示左眼存在内皮细胞丢失。予弱效局部糖皮质激素（topical steroid）治疗后，角膜后沉着物与角膜水肿在2日内完全消退，患者左眼的近视漂移恢复至-10.0屈光度。多平行线型内皮炎可通过弱效局部糖皮质激素在短期内实现有效治疗。该病可出现一过性近视漂移，本例中该症状随病情恢复而缓解。但角膜内皮细胞丢失难以避免，因此需对患者进行密切随访监测。