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Year : 2023  |  Volume : 3  |  Issue : 2  |  Page : 288-291

Macular corneal dystrophy with keratoconus – Case report and review of literature

Department of Ophthalmology, Acharya Shri Chander College of Medical Sciences, Sidhra, Jammu and Kashmir, India

Correspondence Address:
Debapriya Chatterjee
Department of Ophthalmology, Acharya Shri Chander College of Medical Sciences and Hospital, Bye Pass Road, Sidhra, Jammu and Kashmir - 180 017
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_2155_22

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We report a case of macular corneal dystrophy with suspected keratoconus on clinical examination in a 20-year-old female. On Scheimpflug imaging, anterior sagittal and posterior sagittal maps were suggestive of keratoconus. Anterior segment optical coherence tomography showed focal areas of hyperreflectivity in the anterior stroma with diffuse thinning. We report this case to illustrate that high astigmatism and thinning, commonly present in macular dystrophy, may have features suggestive of keratoconus. Corneal haze precludes an accurate assessment of the posterior corneal curvature.

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