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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2012  |  Volume : 19  |  Issue : 2  |  Page : 251-253

Concurrent macular corneal dystrophy and keratoconus

1 Imam Hussein Hospital, Shahid Beheshti University of Medical Sciences; Basir Eye Center, Tehran, Iran
2 Basir Eye Center; Baghiatalah University of Medical Sciences, Tehran, Iran
3 Student Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran

Correspondence Address:
Mehdi Aslani
No.359, Sheybanee Alley, Northern Jamalzadeh St., Keshavarz Blvd., Tehran 1418643113
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.95266

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A 21-year-old female presented with progressive bilateral visual loss for the past 8 years. The patient had no history of systemic disease, surgery or medications. Complete ophthalmologic examination and topography were performed. On ophthalmic examination, uncorrected visual acuity was counting fingers at 2.5 m (20/50 with pinhole) in the right and left eyes. Both corneas appeared hazy on gross examination. On slit-lamp biomicroscopy, focal grayish-white opacities with indistinct borders were noted in the superficial and deep corneal stroma of both eyes. Both corneas were thin and bulging. Corneal topography showed a pattern consistent with keratoconus. The patient underwent penetrating keratoplasty (PKP). Histopathologic studies after PKP confirmed the diagnosis of macular corneal dystrophy and keratoconus in the same eye. The patient was clinically diagnosed as a case of concurrent macular dystrophy and keratoconus, which is a very rare presentation.

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