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Cornea & External Diseases



















Meesmann's Dystrophy

  • Autosomal dominantly inherited and also called juvenile hereditary epithelial dystrophy.
  • Clinical features:
    • Symptoms:
      • Foreign body sensation due to epithelial erosion may occur as the cysts begin to rupture onto the ocular surface
      • Decreased visual acuity is usually minimal
    • Signs:
      • Myriads of tiny intraepithelial cysts that are most prominently seen in the interpalpebral zone
      • Slowly progressive rare condition
      • Bilateral, symmetric and may develops in the first 1 or 2 years of life
  • Treatment:
    • Superficial corneal debridement
    • Photo therapeutic keratectomy maybe required in patient with severe recurrent erosions or reduced visual function.

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