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Stromal keratitis complicating anterior membrane dystrophy
Abstract:
Recurrent erosion of the cornea has been well documented in patients with nontraumatic anterior membrane dystrophies of various types. We examined five patients who, in addition to an erosion, developed stromal keratitis. Three of these patients were subjected to a complete microbiologic workup, but the lesions were all sterile. The lesions healed with conservative treatment of patching and, in some cases, a soft contact lens. Stromal keratitis should be recognized as a complication of the non-traumatic recurrent erosion syndrome, which in turn is frequently associated with anterior membrane dystrophy. The finding of such anterior membrane changes in either eye will lead to the correct diagnosis and treatment of the affected eye.
Insights
Stromal keratitis can complicate recurrent corneal erosion, often linked to anterior membrane dystrophy. Early identification of these corneal changes aids diagnosis and treatment.
Area of Science:
- Ophthalmology
- Corneal Diseases
- Microbiology
Background:
- Recurrent corneal erosion is common in anterior membrane dystrophies.
- Stromal keratitis is a potential complication requiring investigation.
Observation:
- Five patients with recurrent corneal erosion also developed stromal keratitis.
- Microbiologic workup revealed sterile lesions in three patients.
Findings:
- Stromal keratitis is a recognized complication of non-traumatic recurrent erosion syndrome.
- This syndrome is frequently associated with anterior membrane dystrophy.
Implications:
- Recognizing stromal keratitis as a complication of recurrent erosion is crucial.
- Identifying anterior membrane changes aids in diagnosis and treatment of affected eyes.