RESUMENCaso clínico: Mujer de 33 años con neovascularización corneal bilateral superficial y profunda y queratopatía punteada superficial de distribución difusa, queratoeritema y sordera neurosensorial, que es diagnosticada de síndrome KID. Discusión: El síndrome KID es una displasia congénita ectodérmica caracterizada por la asociación de queratitis vascularizante, lesiones cutáneas hiperqueratósicas y sordera neurosensorial. Recientemente, la deficiencia de stem cell limbares ha sido reconocida como posible factor patogenético clave.Palabras clave: Queratitis, ictiosis, sordera, conexinas, stem cell limbares. COMUNICACIÓN CORTA ABSTRACTCase report: A 33-year-old woman with superficial and deep bilateral corneal vascularization and keratoconjunctivitis sicca, keratoerythema and neurosensory deafness, was diagnosed with keratitisichthyosis-deafness (KID) syndrome. Discussion: KID syndrome is a congenital ectodermal dysplasia characterized by the association of vascularizing keratitis, hyperkeratotic skin lesions and sensorineural hearing loss. Recently, limbal stem cell deficiency was recognized as a possible major pathogenetic factor (Arch Soc Esp Oftalmol 2006; 81: 225-228).

No abstract

No abstract

To assess the reproducibility of retinal nerve fi ber layer (RNFL) measurements and the variability of the probabilistic classifi cation algorithm in normal, hypertensive and glaucomatous eyes using Stratus optical coherence tomography (OCT). Methods: Forty-nine eyes (13 normal, 17 ocular hypertensive [OHT] and 19 glaucomatous) of 49 subjects were included in this study. RNFL was determined with Stratus OCT using the standard protocol RNFL thickness 3.4. Three different images of each eye were taken consecutively during the same session. To evaluate OCT reproducibility, coeffi cient of variation (COV) and intraclass correlation coeffi cient (ICC) were calculated for average thickness (AvgT), superior average thickness (Savg), and inferior average thickness (Iavg) parameters. The variability of the results of the probabilistic classifi cation algorithm, based on the OCT normative database, was also analyzed. The percentage of eyes with changes in the category assigned was calculated for each group. Results: The 50th percentile of COV was 2.96%, 4.00%, and 4.31% for AvgT, Savg, and Iavg, respectively. Glaucoma group presented the largest COV for all three parameters (3.87%, 5.55%, 7.82%). ICC were greater than 0.75 for almost all measures (except from the inferior thickness parameter in the normal group; ICC = 0.64, 95% CI 0.334-0.857). Regarding the probabilistic classifi cation algorithm for the three parameters (AvgT, Savg, Iavg), the percentage of eyes without color-code category changes among the three images was as follows: normal group, 100%, 84.6% and 92%; OHT group, 89.5%, 52.7%, 79%; and Glaucoma group, 82%, 70.6%, and 76.5%, respectively. A probabilistic category switch from pathologic to normal or vice versa was observed in three eyes (15.8%) of the glaucomatous group for the Savg parameter and in two eyes of the OHT group: one eye (5,9%) for the AvgT and one eye (5.9%) for the Savg parameter. Conclusions: OCT RNFL measurements showed a good reproducibility in normal, OHT, and glaucoma eyes. The probabilistic classifi cation for the three main parameters showed certain variability, especially in glaucoma group and OHT group. Therefore, one isolated category result should be interpreted with caution before clinical classifi cation of the patient.