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Lisch corneal dystrophy.

Marco Alvarez-Fischer1, Juan Alvarez de Toledo, Rafael I Barraquer

  • 1Cornea and Refractive Surgery Department, Centro de Oftalmología Barraquer, Barcelona. Spain.

Cornea
|April 15, 2005
PubMed
Summary
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A case report details a 70-year-old woman with band-shaped microcystic dystrophy causing vision loss. The condition presented as corneal opacification and improved with treatment, showing no recurrence.

Area of Science:

  • Ophthalmology
  • Corneal Diseases
  • Histopathology

Background:

  • Band-shaped microcystic dystrophy is a rare corneal condition.
  • Early diagnosis and treatment are crucial for visual outcomes.

Observation:

  • A 70-year-old woman presented with unilateral, painless loss of visual acuity.
  • Ophthalmic examination revealed feathery corneal opacification involving the visual axis.
  • The opacification showed an intraepithelial dense microcystic pattern.

Findings:

  • Histopathologic examination of epithelial scraping confirmed scattered vacuolization within the epithelium.
  • Clinical presentation and histopathology align with Lisch's original 1992 report.
  • The patient's visual acuity improved post-treatment with no observed recurrence.

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Implications:

  • This case highlights the characteristic presentation of band-shaped microcystic dystrophy.
  • Accurate histopathological correlation aids in diagnosing this rare corneal dystrophy.
  • Effective management can lead to improved visual function and prevent recurrence.