A case of bilateral corneal opacity

Abstract

Objective: To describe an extremely rare case of acromesomelic dysplasia with bilateral corneal opacity in a 6-year-old female.

Method: This is a case report.

Results: A 6-year-old female was referred for bilateral corneal opacity. Best corrected visual acuity for both eyes was 6/12. Ocular findings included normal corneal thickness with intact epithelium and diffuse mid to posterior stromal haze. The rest of the eye findings were within normal limits. Corneal topography showed symmetrical bow tie astigmatism of –3.38D for the right eye and –3.00D for the left eye.

Conclusion: Treatment of the ocular findings in acromesomelic dysplasia includes corrective lenses for errors of refraction and polarized lenses for glare. Keratoplasty may be contemplated in cases with total corneal opacification. Follow-up is necessary to assess the progression of the disease and decide on appropriate management of symptoms.