DR. PARTH PALAN

DR. MURALEEDHARA R.

Abstract

A 34-year old lady presented with sudden onset of blurring of vision in both eyes 6 months ago, not associated with pain or other ocular symptoms. Her BCVA in both eyes was 20/40. She was being treated for viral endothelialitis. She had history of using antidepressants from 6 years which was stopped at the onset of blurring.

The cornea revealed a central well-circumscribed 5 mm area of corneal edema with a focal pigment dispersion with confluent guttae. The rest of the peripheral cornea, uveal tissue and lens was clear and intraocular pressure was within normal limits.

Examination and investigations pointed towards endothelialitis.

Examination of patient’s mother revealed the presence of diffuse corneal guttae clinching early-onset Fuchs endothelial dystrophy. The patient underwent Descemet Membrane Endothelial Keratoplasty (DMEK) right eye followed by the left.

This case highlights a rare, unusual manifestation of FECD and also the importance of screening patient relatives.