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KRUKENBERG SPINDLE AND ITS RELATION TO ANNULAR PIGMENTED BAND ON PERIPHERY OF THE LENS

KRUKENBERG SPINDLE AND ITS RELATION TO ANNULAR PIGMENTED BAND ON PERIPHERY OF THE LENS Abstract A pigmented spindle of the cornea was first described by Krukenberg1 in 1899; he stated the belief that it arose as a result of fusion between the pupillary membrane and the cornea in fetal life. He referred to the condition as congenital melanosis of the cornea. This abnormality is a vertical band on the posterior surface of the central portion of the cornea composed of brown pigmented particles, which are dense in the center and thin out at the ends and edges. A scattering of fine, dustlike granules is seen outside the spindle, particularly inferiorly. The spindle is usually centrally located ; less commonly it is slightly nasal or temporal. The Krukenberg spindle is a rare anomaly. Evans, Odom and Wenaas2 were able to collect 202 cases, only a small number of which had been reported. They stated that many busy ophthalmologists have never observed a Krukenberg spindle. Further, References 1. Krukenberg, F.: Beiderseitige angeborene Melanose der Hornhaut , Klin. Monatsbl. f. Augenh. 37:254-258, 1899 2. Weitere Mittheilung über angeborene doppelseitige Melanose der Hornhaut , Krukenberg Klin. Monatsbl. f. Augenh. 37:478-480, 1899. 3. Evans, W. H.; Odom, R. E., and Wenaas, E. J.: Krukenberg's Spindle , Arch. Ophth. 26:1023-1056 ( (Dec.) ) 1941.Crossref 4. Zentmayer, W.: Association of Annular Band of Pigment on the Posterior Capsule of the Lens with Krukenberg Spindle , Arch. Ophth. 20:52-57 ( (July) ) 1938.Crossref 5. Cameron, W.: Krukenberg Spindle Associated with Megalocornea and Posterior Pigmentation of the Lens , Am. J. Ophth. 24:687-689, 1941. 6. Goldberg, H.: Pigmentkorperchen an der Hornhautinterfläche , Arch. f. Augenh. 58:324-336, 1907. 7. Moeschler, H.: Untersuchungen über Pigmentierung der Hornhautrückfläche bei 395 am Spaltenlampmikroskop Untersuchten Augen gesunder Personen , Ztschr. f. Augenh. 48:195-202, 1922. 8. Kraupa, E.: Studien über die Melanosis des Augapfels , Arch. f. Augenh. 82:67-93, 1917. 9. von Sallmann, L.: Ueber eine dystrophische Endothelveränderung und Pigmentierung der Hornhautrückfläche , Ztschr. f. Augenh. 58:348-357, 1926. 10. Gifford, S. R.: Epithelial Dystrophy of the Cornea and Its Relation to Endothelial Dystrophy , Am. J. Ophth. 9:81-85, 1926. 11. Korobova, V.: On the Etiology of Krukenberg's Spindle , Rusk. opht. j. , (April) 1929, pp. 476-484 12. abstracted, Am. J. Ophth. 12:699 ( (Aug.) ) 1929. 13. Goar, E. L.: Congenital Pigmentation of the Cornea (Krukenberg Type) , Tr. Am. Ophth. Soc. 25: 346-353, 1928 14. Dystrophy of the Corneal Endothelium (Cornea Guttata) with Report of Histological Examination , Am. J. Ophth. 17:215-221, 1934. 15. Puglisi-Duranti, G.: Pigmentazione a fuso della faccia posteriore della cornea (fuso de Krukenberg) , Arch. di ottal. 42:183-197, 1935. 16. Mann, I. : Developmental Abnormalities of the Eye , London, Cambridge University Press, 1937. 17. Bellows, J.: Cataract and Anomalies of the Crystalline Lens , St. Louis, C. V. Mosby Company, 1944. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

KRUKENBERG SPINDLE AND ITS RELATION TO ANNULAR PIGMENTED BAND ON PERIPHERY OF THE LENS

BELLOWS, JOHN G.
Archives of Ophthalmology , Volume 32 (6) – Dec 1, 1944
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References (15)

Publisher
American Medical Association
Copyright
Copyright © 1944 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1944.00890120062006
Publisher site
See Article on Publisher Site

Abstract

Abstract A pigmented spindle of the cornea was first described by Krukenberg1 in 1899; he stated the belief that it arose as a result of fusion between the pupillary membrane and the cornea in fetal life. He referred to the condition as congenital melanosis of the cornea. This abnormality is a vertical band on the posterior surface of the central portion of the cornea composed of brown pigmented particles, which are dense in the center and thin out at the ends and edges. A scattering of fine, dustlike granules is seen outside the spindle, particularly inferiorly. The spindle is usually centrally located ; less commonly it is slightly nasal or temporal. The Krukenberg spindle is a rare anomaly. Evans, Odom and Wenaas2 were able to collect 202 cases, only a small number of which had been reported. They stated that many busy ophthalmologists have never observed a Krukenberg spindle. Further, References 1. Krukenberg, F.: Beiderseitige angeborene Melanose der Hornhaut , Klin. Monatsbl. f. Augenh. 37:254-258, 1899 2. Weitere Mittheilung über angeborene doppelseitige Melanose der Hornhaut , Krukenberg Klin. Monatsbl. f. Augenh. 37:478-480, 1899. 3. Evans, W. H.; Odom, R. E., and Wenaas, E. J.: Krukenberg's Spindle , Arch. Ophth. 26:1023-1056 ( (Dec.) ) 1941.Crossref 4. Zentmayer, W.: Association of Annular Band of Pigment on the Posterior Capsule of the Lens with Krukenberg Spindle , Arch. Ophth. 20:52-57 ( (July) ) 1938.Crossref 5. Cameron, W.: Krukenberg Spindle Associated with Megalocornea and Posterior Pigmentation of the Lens , Am. J. Ophth. 24:687-689, 1941. 6. Goldberg, H.: Pigmentkorperchen an der Hornhautinterfläche , Arch. f. Augenh. 58:324-336, 1907. 7. Moeschler, H.: Untersuchungen über Pigmentierung der Hornhautrückfläche bei 395 am Spaltenlampmikroskop Untersuchten Augen gesunder Personen , Ztschr. f. Augenh. 48:195-202, 1922. 8. Kraupa, E.: Studien über die Melanosis des Augapfels , Arch. f. Augenh. 82:67-93, 1917. 9. von Sallmann, L.: Ueber eine dystrophische Endothelveränderung und Pigmentierung der Hornhautrückfläche , Ztschr. f. Augenh. 58:348-357, 1926. 10. Gifford, S. R.: Epithelial Dystrophy of the Cornea and Its Relation to Endothelial Dystrophy , Am. J. Ophth. 9:81-85, 1926. 11. Korobova, V.: On the Etiology of Krukenberg's Spindle , Rusk. opht. j. , (April) 1929, pp. 476-484 12. abstracted, Am. J. Ophth. 12:699 ( (Aug.) ) 1929. 13. Goar, E. L.: Congenital Pigmentation of the Cornea (Krukenberg Type) , Tr. Am. Ophth. Soc. 25: 346-353, 1928 14. Dystrophy of the Corneal Endothelium (Cornea Guttata) with Report of Histological Examination , Am. J. Ophth. 17:215-221, 1934. 15. Puglisi-Duranti, G.: Pigmentazione a fuso della faccia posteriore della cornea (fuso de Krukenberg) , Arch. di ottal. 42:183-197, 1935. 16. Mann, I. : Developmental Abnormalities of the Eye , London, Cambridge University Press, 1937. 17. Bellows, J.: Cataract and Anomalies of the Crystalline Lens , St. Louis, C. V. Mosby Company, 1944.

Journal

Archives of Ophthalmology – American Medical Association

Published: Dec 1, 1944

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