Fuchs endothelial corneal dystrophy and keratoconus: A very rare coincidence

Abstract

It was aimed to represent a case with concurrent Fuchs endothelial corneal dystrophy (FECD) and keratoconus (KC) as a rare entity. A 35-year-old woman had a best-corrected visual acuity was 20/20 in the right eye and 20/60 in the left eye (Snellen). Biomicroscopy revealed bilateral cornea guttata and Fleischer ring in the left eye. Corneal topography demonstrated early KC in the right eye and advanced KC in the left eye. Maximum keratometry (Kmax) and pachymetry at the thinnest location were 46.2 diopters (D) in the right eye and 56.3 D in the left eye, and 530 and 495 microns, respectively. Corneal thinning in KC and subclinical corneal thickening in FECD might lead delay in disease diagnosis.

Keywords

• corneal dystrophy
• endothelium
• fuchs
• keratoconus
• topography