An Unusual Case Of Corneal Distrophy
Published 2022
- 40th Congress of the ESCRS
Reference: PO318
| Type: ESCRS 2022 - Posters
| DOI:
10.82333/ewy7-ws20
Authors:
Alessandra Balestrazzi* 1
, Emilio Balestrazzi 2
, Paolo Michieletto 3
1Ophthalmic Department,asl roma 2,RM - Roma,Italy, 2Ophthalmic,Balestrazzi Private Office,Rome,Italy, 3Ophthalmic Department,Asl Roma 1,Rome,Italy
Purpose
Illustrate an atypical case of corneal dystrophy with rapid evolution and unusual course.
Setting
Balestrazzi Private Office Rome
Methods
A 29-year-old man came to our observation complaining of reduced visual acuity, foreign body sensation and burning, he had been diagnosed with dry eye and corneal ulcers.
Superficial corneal dystrophy was hypothesized and therapy with tear substitutes was prescribed.
After 20 days the patient returned complaining of further visual decline in the right eye, BCVA was reduced to 20/200 and an area of paracentral nasal dystrophy was evident.
The patient then underwent scraping of the corneal epithelium with application of bandage contact lens.
Results
After 7 days, the symptoms had greatly improved and after 30 days visual acuity had returned to 20/20. After 1 month the patient returned complaining of a marked visual decline in the left eye, BCVA was reduced to 20/200 and an area of paracentral nasal dystrophy was evident. We decided to do a scraping of the corneal epithelium with application of bandage contact lens also in the left eye. After 7 days, the symptoms had greatly improved and after 30 days visual acuity had returned to 20/20.The patient then tested positive for antinuclear antibodies and therefore for a possible autoimmune pathology that will require further investigation.
Conclusions
This unusual form of corneal dystrophy with rapid evolution and non-simultaneous bilateral course showed good resolution with mechanical removal of the corneal epithelium. It will be necessary to monitor the case over time for recurrence.