[Bilateral dendritic pseudokeratitis (Richner-Hanhart syndrome)]

Area of Science:

• Ophthalmology
• Medical Genetics

Background:

• Richner-Hanhart syndrome is a rare, recessively inherited disorder characterized by keratosis palmaris et plantaris and distinctive corneal dystrophy.
• Recurrent dendritic keratitis is a significant clinical manifestation, often leading to severe eye pain and visual impairment.

Observation:

• A Turkish infant diagnosed with Richner-Hanhart syndrome presented with recurrent episodes of bilateral dendritic keratitis.
• Previous conservative treatments for the associated ocular pain were ineffective.

Findings:

• The application of highly hydrophilic contact lenses resulted in prompt and complete symptomatic relief from recurrent eye pain.
• This suggests a novel, effective management strategy for the ocular manifestations of Richner-Hanhart syndrome.

Implications:

• Highly hydrophilic contact lenses represent a promising therapeutic option for managing symptomatic recurrent keratitis in Richner-Hanhart syndrome.
• This approach may improve the quality of life for patients by alleviating chronic ocular discomfort.