@article {242856,
	title = {Advanced spheroidal degeneration.},
	journal = {Digital journal of ophthalmology : DJO},
	volume = {25},
	year = {2019},
	pages = {68-71},
	abstract = {<p>Spheroidal degeneration, involving the cornea and/or the conjunctiva, is characterized by amber-colored homogeneous, translucent spherules in the corneal stroma, Bowman{\textquoteright}s membrane, and subepithelium. The condition has a higher prevalence in areas with extreme temperatures, low humidity, high wind, and presence of sand. We report the case of a 46-year-old man with a 10-year history of gradual progressive diminution of vision, severe blepharospasm, and photophobia. Examination revealed bilateral plaques of amber-colored nodules covering about half of the cornea. Superficial keratectomy was performed for the lesions in both eyes, leaving an epithelial defect overlying a plane of opaque cornea. Histopathology showed amorphous protein in the anterior stroma, confirming the clinical diagnosis of advanced grade 4 spheroidal degeneration. Visual acuity and other symptoms dramatically improved, and the patient was scheduled for keratoplasty.</p>
},
	url = {https://doi.org/10.5693/djo.02.2019.11.001},
	attachments = {https://scholar.cu.edu.eg/sites/default/files/islamswaify/files/djo-18-119_0.pdf},
	author = {Abdelrahman M. Elhusseiny and El Sheikh, Reem H and Jamerson, Emery and Swaify, Islam Y and Araissi, Ahmed B and Saad, Abdelaziz A}
}
