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Three Different Protocols of Corneal Collagen Crosslinking in Keratoconus: Conventional, Accelerated and Iontophoresis
Published on: November 12, 2015
Concomitant keratoconus and macular corneal dystrophy
Mohammad-Ali Javadi1, Alireza Baradaran Rafee'i, Nasser Kamalian
1Department of Ophthalmology, Tehran University of Medical Sciences, Tehran, Iran. ma-javadi@yahoo.com
Objective:
To report the concomitant presentation of keratoconus and macular corneal dystrophy in two cases.
Methods:
Two siblings with concomitant keratoconus and macular corneal dystrophy are presented. Complete ophthalmologic examination and computerized videokeratography were performed in both patients. Case 1 underwent penetrating keratoplasty in both eyes sequentially; histopathologic examination of excised corneal buttons with special stains was performed. Case 2 was observed.
Results:
Both patients manifested typical signs and topographic evidence of keratoconus associated with macular dystrophy. Histopathologic studies in case 1 confirmed the same clinical diagnosis.
Conclusion:
To our knowledge, this is the first report of such a concurrence in the English literature and could lead to further studies on the possible pathophysiologic or genetic link between these 2 entities.
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