Author/Authors :
gohari, mohsen Department of Ophthalmology - Ophthalmology Department - Geriatric Ophthalmology Research Center - Shahid Sadoughi University of Medical Sciences, Yazd, Iran , rahmatkhah, sanaz Department of Ophthalmology - Ophthalmology Department - Geriatric Ophthalmology Research Center - Shahid Sadoughi University of Medical Sciences, Yazd, Iran , salehi, heidar Department of Ophthalmology - Ophthalmology Department - Geriatric Ophthalmology Research Center - Shahid Sadoughi University of Medical Sciences, Yazd, Iran , shojaie, ahmad Basir Eye Health Reseach Center - Basir Eye Clinic, Tehran, Iran
Abstract :
A 23-year-old female presented with progressive bilateral visual loss for the past 5 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 20/30 in the right eye and 20/50 in the left eye. Both corneas appeared hazy on gross examination. On slit-lamp biomicroscopy, few well circumscribed gray white discrete granular deposits in the central corneal stroma of both eyes were observed. Both corneas were thin and bulging. Corneal topography showed a pattern consistent with keratoco-nus. The patient was clinically diagnosed as a case of concurrent granular dystrophy and keratoconus, which is a very rare presentation.
