EyeRounds Online Atlas of Ophthalmology

Contributor:
William Charles Caccamise Sr,MD, Retired Clinical Asst Prof of Ophthal. U.of Rochester School of Medicine & Dentistry

Category: Cornea
Diagnosis: Fuchs epithelial-endothelial corneal dystrophy with central ruptured epithelial bullae

Fuchs epithelial-endothelial corneal dystrophy with central ruptured epithelial bullae

Image Comments:

This genetically-based corneal dystrophy occurs more frequently in females in the 5th and 6th decades of life. It is initally manifested by a deficiency in the corneal endothelium which is first detected on slit-lamp examination by specular reflection. Later, the epithelium participates in the dystrophic process. Eventually, the corneal pathology may reach the advanced stage evident in the photo. Here, central epithelial bullae have broken down.

Fuchs epithelial-endothelial corneal dystrophy with central ruptured epithelial bullae


Fuchs epithelial-endothelial corneal dystrophy with central ruptured epithelial bullae


Fuchs epithelial-endothelial corneal dystrophy with central ruptured epithelial bullae


 

 

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