Evaluation of granular corneal dystrophy with optical coherent tomography.
OBJECTIVE
To determine the intrastromal layer of corneal deposits in granular corneal dystrophy (GCD).


METHODS
Investigative case report.


METHODS
A 32-year-old woman with bilateral decreased vision because of corneal deposits was examined with cross-sectional scans using optical coherence tomography (OCT).


RESULTS
Visual acuity was 20/100 OU. Multiple confluent gray-white patches with an irregular shape were seen in the corneal stroma, leading to a diffuse opacification. OCT disclosed multiple hyperreflective dots in the anterior and deeper stromal layers.


CONCLUSIONS
When severe corneal opacities obscure the clinical differentiation between anterior and deep infiltrates, OCT may determine the layers of the accumulation and select an appropriate surgical procedure.
Meyer
Carsten H
CH
Department of Ophthalmology, Philipps-University, Marburg, Germany. meyer_eye@yahoo.com
Sekundo
Walter
W
D000328:Adult; D003317:Corneal Dystrophies, Hereditary / Q000175:diagnosis*; D003319:Corneal Stroma / Q000473:pathology*; D005260:Female; D006801:Humans; D041623:Tomography, Optical Coherence / Q000379:methods*