Unilateral corneal endothelial dystrophy and anterior keratoconus.
OBJECTIVE
To describe a case of keratoconus and Fuchs' corneal endothelial dystrophy in the left eye with no corneal disease in the right eye.


METHODS
A 64-year-old woman presented with visual impairment in her left eye; computer-assisted topographic analysis and specular microscopy were performed in both eyes and left cornea was histopathologically examined.


RESULTS
Keratoconus was diagnosed by slit-lamp examination, keratometry, and computer-assisted topographic analysis. Corneal endothelial dystrophy was diagnosed on the basis of clinical examination and specular microscopy. Histopathologic examination revealed a stromal degeneration typical of keratoconus and a non-guttae form of endothelial dystrophy.


CONCLUSIONS
This is a rare case of unilateral corneal endothelial dystrophy and keratoconus.
Martone
G
G
Department of Ophthalmology and Neurosurgery, University of Siena, Siena, Italy.
Tommasi
C
C
Traversi
C
C
Balestrazzi
A
A
Berni
E
E
Nuti
E
E
Tosi
G M
GM
D019781:Corneal Topography; D016039:Corneal Transplantation; D005260:Female; D005642:Fuchs' Endothelial Dystrophy / Q000150:complications* / Q000473:pathology / Q000601:surgery; D007839:Functional Laterality; D006801:Humans; D007640:Keratoconus / Q000150:complications* / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D014786:Vision Disorders / Q000209:etiology