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10 - 12 February 2017, MECC Maastricht,The Netherlands.

This Meeting has been awarded 15 CME credits.

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Schnyder cristalline corneal dystrophy: a clinical diagnosis approach

Poster Details


First Author: A. Anugrah INDONESIA

Co Author(s): S. Su                    

Abstract Details

Purpose:

To report a rare case of corneal dystrophy and its findings to help in proper and early diagnosis and management.

Setting:

The patient was examined in Ophthalmology Clinic of Dr.Sardjito General Hospital Yogyakarta, Indonesia

Methods:

The diagnosis is made from brief anamnesis, clinical opthalmologic examination, and additional laboratory examination of the patient by an subspecialized ophthalmologist.

Results:

A 65 years old female presented with blurry vision of her both eyes that progressed over the last 10 years. There was haziness on her both eyes since childhood. Anterior segment examination revealed corneal lipoides arcus with central haziness and crystalline deposition in the stroma. There was increased lipid profile from the patient’s laboratory examination. Patient had undergone gall stone surgery 2 years before. There was no history of eye trauma nor surgery before. From pedigree, her elder sister and previous father also suffered the same condition. A diagnosis of Schnyder corneal dystrophy was made based on clinical presentation.

Conclusions:

Schnyder corneal dystrophy is a rare case of hereditary corneal dystrophy but has spesific presentations and may be misdiagnosed. The clinical signs change as the patient ages causing a decreased vision which may need referral for penetrating keratoplasty or deep anterior lamellar keratoplasty. Obtaining clear information of patient’s pedigree mapping in this condition is very essential. The patient’s systemic findings which correlate with the dystrophy need to be assessed and managed appropriately. Advance examination such as histopathology and histochemical analysis can be performed to help confirming the diagnosis of this corneal dystrophy.

Financial Disclosure:

None

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