Triple dystrophy—A rare occurrence: A case report

Abstract

A 46-year-old female presented with decreased vision in both eyes for 2 years, with the best corrected visual acuity of 20/50 in the right eye (OD), 20/100 in the left eye (OS). On slit lamp examination multiple bread crumbs-like opacities at the anterior stromal level, multiple translucent lines at the stromal level, and multiple guttae at the endothelial level were found. AS-OCT revealed depositions at the stromal level and guttae at the endothelial level. Based on clinical features and supportive investigations, the patient was diagnosed with Avellino's corneal dystrophy (Granular + Lattice), with Fuch's endothelial dystrophy, in both eyes.

Keywords

• avellino's dystrophy
• bread crumbs
• fuch's endothelial dystrophy
• guttae
• lacy pattern