University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds Online Atlas of Ophthalmology

Contributor: Meredith Baker, MD, The University of Iowa

Category: Cornea

Epithelial basement membrane dystrophy
(map-dot-fingerprint dystrophy)

Map-dot-fingerprint dystrophyEpithelial basement membrane dystrophy

Image Comments:

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

Epithelial basement membrane dystrophy (map-dot-finger dystrophy)

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.

No one may use these photographs for financial gain without written authorization from the contributor.

Creative Commons License
Ophthalmic Atlas Images by, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

last updated: posted 10-12-2012; updated 9-14-2015
Share this page: