Concurrent macular corneal dystrophy and keratoconus
MEAJO-Middle East African Journal of Ophthalmology. 2012; 19 (2): 251-253
in English
| IMEMR
| ID: emr-163506
ABSTRACT
A 21-year-old female presented with progressive bilateral visual loss for the past 8 years. The patient had no history of systemic disease, surgery or medications. Complete ophthalmologic examination and topography were performed. On ophthalmic examination, uncorrected visual acuity was counting fingers at 2.5 m [20/50 with pinhole] in the right and left eyes. Both corneas appeared hazy on gross examination. On slit-lamp biomicroscopy, focal grayish-white opacities with indistinct borders were noted in the superficial and deep corneal stroma of both eyes. Both corneas were thin and bulging. Corneal topography showed a pattern consistent with keratoconus. The patient underwent penetrating keratoplasty [PKP]. Histopathologic studies after PKP confirmed the diagnosis of macular corneal dystrophy and keratoconus in the same eye. The patient was clinically diagnosed as a case of concurrent macular dystrophy and keratoconus, which is a very rare presentation
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Index:
IMEMR (Eastern Mediterranean)
Language:
English
Journal:
Middle East Afr. J. Ophthalmol.
Year:
2012
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