EyeRounds Online Atlas of Ophthalmology
Contributor: Meredith Baker, MD, The University of Iowa
Epithelial basement membrane dystrophy
72-year-old female with decrease in central visual acuity. Classic gray patches, fingerprint lines, map lines, dots, and cobblestone pattern in the corneal epithelium are seen on this photo.
Epithelial basement membrane dystrophy (map-dot-finger dystrophy)
Contributor: Thomas J.E. Clark, MD
Photographer: Carol Chan, CRA
This photo demonstrates classic "dots", which manifest as irregular round, oval, or comma-shaped, non-staining, putty-gray intraepithelial opacities. They represent intraepithelial pseudocysts containing cytoplasmic debris.
See related case:
Weiss JS, Moller HU, Aldave AJ, et al. IC3D Classification of Corneal Dystrophies—Edition 2. Cornea. 2015;34:117-159.
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