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Case Reports
. 2009 May;2(2):79-81.
doi: 10.4103/0974-620X.53037.

Bilateral coexistence of keratoconus and macular corneal dystrophy

Ghazi Al-Hamdan  1 , Sultan Al-Mutairi, Eiman Al-Adwani, Abdullah Al-Mujaini
Affiliations
Case Reports

Bilateral coexistence of keratoconus and macular corneal dystrophy

Ghazi Al-Hamdan et al. Oman J Ophthalmol. 2009 May.

Abstract

Bilateral coexistence of keratoconus and macular corneal dystrophy is a very rare clinical entity. Further elaboration on the possible genetic, histopathologic, pathophysiologic and biochemical correlation is required to study the nature of the condition.The authors hereby report a 21-year-old female who presented with the typical signs and topographic evidence of keratoconus in association with macular corneal dystrophy. Histopathologic evaluation from the excised corneal button after corneal transplant confirmed the diagnosis.To our knowledge, there is only one previous report in the literature linking the association of keratoconus and macular corneal dystrophy in the same eye bilaterally.

Keywords: Corneal pachymetry; keratoconus; macular dystrophy.

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Figures

Figure 1
Figure 1
Corneal image of the right eye showing multiple white-grey stromal deposits and Fleisher ring
Figure 2
Figure 2
Holladay diagnostic summary of the right eye consistent with advanced keratoconus
Figure 3
Figure 3
Holladay diagnostic summary of the left eye with moderate to severe keratoconus
Figure 4
Figure 4
Corneal image of the right eye after deep lamellar keratoplasty
See this image and copyright information in PMC

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