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CASE REPORT
Year : 2021  |  Volume : 1  |  Issue : 2  |  Page : 234-236

Coincident iridocorneal endothelial syndrome and keratoconus


1 Department of Ophthalmology, Faculty of Medical and Health Sciences, University of Auckland, New Zealand
2 Corneoplastic Unit and Eye Bank, Queen Victoria Hospital, NHS Trust, East Grinstead, West Sussex, United Kingdom
3 Department of Ophthalmology, Faculty of Medical and Health Sciences, University of Auckland, New Zealand; Corneoplastic Unit and Eye Bank, Queen Victoria Hospital, NHS Trust, East Grinstead, West Sussex, United Kingdom

Correspondence Address:
Dr. James McKelvie
Department of Ophthalmology, Private Bag 92019, University of Auckland, Auckland

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1535_20

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This report describes a rare case coincident keratoconus and Iridocorneal Endothelial (ICE) syndrome in a 43-year-old male with atopy who presented with progressively declining vision. A beaten silver appearance of the right endothelium with a dark-light reversal pattern and endothelial pleomorphism was consistent with the Chandler's syndrome variant of ICE. Keratoconus was demonstrated by irregular astigmatism with thinning and steepening on corneal tomography. He remained stable throughout 14 years with no evidence of secondary glaucoma or progression in keratoconus with conservative management. Coincident ICE and keratoconus is a rare entity with only one other published case of the Chandler's syndrome variant.


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