Granular Corneal Dystrophy Type 2 in a Middle-aged Male

The manuscript presents a 43-year-old male farmer who came to the Ophthalmology Outpatient Department (OPD) for his routine ophthalmological examination. No significant family history was elucidated. On clinical examination, his unaided Visual Acuity (VA) in right eye was 6/24, and that of left eye...

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Main Authors: Rasika Bagewadi, Sachin Daigavane
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2023-01-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/17294/61192_CE[Ra1]_F(KM)_PF1(AKA_KM)_PN(KM).pdf
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author Rasika Bagewadi
Sachin Daigavane
author_facet Rasika Bagewadi
Sachin Daigavane
author_sort Rasika Bagewadi
collection DOAJ
description The manuscript presents a 43-year-old male farmer who came to the Ophthalmology Outpatient Department (OPD) for his routine ophthalmological examination. No significant family history was elucidated. On clinical examination, his unaided Visual Acuity (VA) in right eye was 6/24, and that of left eye was 6/18. On slit lamp examination, the cornea showed diffuse, multiple, round to granular, breadcrumb-like opacities involving the sub-epithelium to the deep stroma [Table/Fig-1,2]. Intraocular pressure was 18 mmHg in right eye and 15 mmHg in left eye. Nuclear sclerosis grade 2 with posterior sub-capsular cataract was seen in both eyes. Bilateral fundus examination did not reveal any abnormality. Immunohistochemical testing, light microscopy or genetic testing was not done as patient did not consent for the procedure. But the clinical picture of bread-crumb like opacities was highly suspicious of Granular Corneal Dystrophy (GCD) type II. The patient was advised cataract extraction and underwent phacoemulsification with Posterior Chamber Intraocular Lens (PCIOL) implantation in right eye. The surgery was uneventful and post-operatively patient had an unaided VA of 6/9. Postoperative follow-up was of 15 days but the patient was lost to follow-up.
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spelling doaj.art-412c6e8b11bd44ad9809f34ba9511d792023-01-31T11:50:25ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-01-01171NJ01NJ0210.7860/JCDR/2023/61192.17294Granular Corneal Dystrophy Type 2 in a Middle-aged MaleRasika Bagewadi0Sachin Daigavane1Resident, Department of Ophthalmology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, India.Professor and Head, Department of Ophthalmology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, India.The manuscript presents a 43-year-old male farmer who came to the Ophthalmology Outpatient Department (OPD) for his routine ophthalmological examination. No significant family history was elucidated. On clinical examination, his unaided Visual Acuity (VA) in right eye was 6/24, and that of left eye was 6/18. On slit lamp examination, the cornea showed diffuse, multiple, round to granular, breadcrumb-like opacities involving the sub-epithelium to the deep stroma [Table/Fig-1,2]. Intraocular pressure was 18 mmHg in right eye and 15 mmHg in left eye. Nuclear sclerosis grade 2 with posterior sub-capsular cataract was seen in both eyes. Bilateral fundus examination did not reveal any abnormality. Immunohistochemical testing, light microscopy or genetic testing was not done as patient did not consent for the procedure. But the clinical picture of bread-crumb like opacities was highly suspicious of Granular Corneal Dystrophy (GCD) type II. The patient was advised cataract extraction and underwent phacoemulsification with Posterior Chamber Intraocular Lens (PCIOL) implantation in right eye. The surgery was uneventful and post-operatively patient had an unaided VA of 6/9. Postoperative follow-up was of 15 days but the patient was lost to follow-up.https://www.jcdr.net/articles/PDF/17294/61192_CE[Ra1]_F(KM)_PF1(AKA_KM)_PN(KM).pdfophthalmologyslit lamp examinationvisual acuity
spellingShingle Rasika Bagewadi
Sachin Daigavane
Granular Corneal Dystrophy Type 2 in a Middle-aged Male
Journal of Clinical and Diagnostic Research
ophthalmology
slit lamp examination
visual acuity
title Granular Corneal Dystrophy Type 2 in a Middle-aged Male
title_full Granular Corneal Dystrophy Type 2 in a Middle-aged Male
title_fullStr Granular Corneal Dystrophy Type 2 in a Middle-aged Male
title_full_unstemmed Granular Corneal Dystrophy Type 2 in a Middle-aged Male
title_short Granular Corneal Dystrophy Type 2 in a Middle-aged Male
title_sort granular corneal dystrophy type 2 in a middle aged male
topic ophthalmology
slit lamp examination
visual acuity
url https://www.jcdr.net/articles/PDF/17294/61192_CE[Ra1]_F(KM)_PF1(AKA_KM)_PN(KM).pdf
work_keys_str_mv AT rasikabagewadi granularcornealdystrophytype2inamiddleagedmale
AT sachindaigavane granularcornealdystrophytype2inamiddleagedmale