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Painless bilateral bullous keratopathy
1School of Optometry and Vision Science, Queensland University of Technology, Room D513, O Block, Victoria Park Road, Kelvin Grove 4059, Brisbane, Queensland, Australia.
Summary
Bullous keratopathy, a corneal edema condition, can cause vision loss. This case report details a rare, painless presentation in an elderly male with diabetes.
Area of Science:
- Ophthalmology
- Corneal Diseases
- Endothelial Keratopathy
Background:
- Bullous keratopathy involves irreversible corneal edema from endothelial cell dysfunction.
- Symptoms range from mild blurred vision to severe vision loss and pain.
- Treatments include topical agents, contact lenses, or keratoplasty.
Observation:
- This case report focuses on a rare presentation of bullous keratopathy.
- The patient was an elderly male with non-insulin dependent diabetes mellitus.
- The condition was bilateral, asymmetric, and painless, causing severe vision loss.
Findings:
- The patient presented with painless, bilateral, and asymmetric bullous keratopathy.
- Severe vision loss was a primary symptom despite the absence of pain.
- Non-insulin dependent diabetes mellitus was a noted comorbidity.
Implications:
- This case highlights the varied clinical presentations of bullous keratopathy.
- Understanding rare presentations is crucial for accurate diagnosis and management.
- Further research may explore the link between diabetes and atypical bullous keratopathy.
