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Lisch Corneal Dystrophy

Alvarez-Fischer, Marco MD; de Toledo, Juan Alvarez MD; Barraquer, Rafael I MD, PhD

doi: 10.1097/01.ico.0000141224.32893.c2
Case Reports

Purpose: To report a case of a patient with a corneal band-shaped microcystic dystrophy.

Methods: Case report.

Results: A 70-year-old woman with unilateral painless loss of visual acuity presented an epithelial feathery corneal opacification involving visual axis that showed an intraepithelial dense microcystic pattern. Histopathologic examination of the epithelial scraping revealed scattered areas of vacuolization within almost the entire epithelium. Visual acuity improved after treatment, and no recurrence was observed.

Conclusions: Clinical and histopathologic features correspond with those described by Lisch in his original report of 1992.

From the Cornea and Refractive Surgery Department, Centro de Oftalmología Barraquer, Barcelona. Spain.

Received for publication March 10, 2004; revision received July 8, 2004; accepted July 13, 2004.

Reprints: Juan Alvarez de Toledo, MD, Centro de Oftalmologia Barraquer, Laforja 88, 08021 Barcelona, Spain (e-mail: alvarezt@co-barraquer.es).

© 2005 Lippincott Williams & Wilkins, Inc.