Fuchs endothelial corneal dystrophy and keratoconus: A very rare coincidence

D. Kılıç, Emre Güneş, I. Toprak
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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.
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富氏角膜内皮营养不良和圆锥角膜:非常罕见的巧合
它的目的是代表一个病例同时富氏内皮角膜营养不良(FECD)和圆锥角膜(KC)作为一个罕见的实体。35岁女性,最佳矫正视力为右眼20/20,左眼20/60 (Snellen)。生物显微镜下发现左眼双侧角膜赘肉和弗莱舍环。角膜地形图显示右眼早期KC,左眼晚期KC。最薄部位的最大角膜屈光度(Kmax)为右眼46.2屈光度(D),左眼56.3屈光度(D), 530微米和495微米。KC的角膜变薄和FECD的亚临床角膜增厚可能导致疾病诊断的延迟。
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