Lattice corneal dystrophy, gelsolin type (Meretoja's syndrome).
OBJECTIVE
This paper reviews current knowledge about the pathogenesis, clinical manifestations and treatment of lattice corneal dystrophy, gelsolin type (LCD2, Meretoja's syndrome).


METHODS
Material is derived from literature searches, a case study of a Finnish patient living in Sweden, and interviews in Helsinki with Professor Ahti Tarkkanen and Dr Sari Kiuru-Enari, both of whom have extensive first-hand experience in treating patients with the disease.


RESULTS
The disease is now reported from several countries in Europe, as well as Japan, the USA and Iran. Treatment is symptomatic and is based on eye lubrication combined with rigorous monitoring of intraocular pressure to reduce corneal haze and postpone the need for keratoplasty. When systemic symptoms occur, the ophthalmologist should consult other specialists.


CONCLUSIONS
The disease is probably under-reported and is almost certainly to be found in more countries, including Sweden. Every ophthalmologist should be vigilant and consider this diagnosis when discovering a corneal lattice dystrophy, especially because the disease is an inherited, lifelong chronic condition with systemic symptoms.
Carrwik
Christian
C
Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal, Gothenburg, Sweden.
Stenevi
Ulf
U
D002386:Cataract / Q000209:etiology; D003315:Cornea / Q000473:pathology; D003317:Corneal Dystrophies, Hereditary / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D005123:Eye; D019066:Facies; D005260:Female; D018260:Gelsolin / Q000235:genetics*; D005901:Glaucoma / Q000209:etiology; D006801:Humans; D007429:Intraocular Pressure; D007674:Kidney Diseases / Q000209:etiology; D054327:Lubricants / Q000627:therapeutic use; D008875:Middle Aged; D009154:Mutation; D009422:Nervous System Diseases / Q000209:etiology; D010375:Pedigree; D012871:Skin Diseases / Q000209:etiology; D012891:Sleep Apnea Syndromes / Q000209:etiology
D018260:Gelsolin; D054327:Lubricants