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Editor,—Posterior polymorphous dystrophy (PPD) is a hereditary corneal dystrophy that is typically asymptomatic and non-progressive. It rarely results in severe visual dysfunction due to corneal decompensation and/or glaucoma. 1 We examined the anterior chamber angle of a PPD patient with corneal oedema and broad iridocorneal adhesion by using ultrasound biomicroscopy (UBM). The examination indicated a unique iridocorneal adhesion that could not be seen in gonioscopy.
CASE REPORT
A 39 year old woman was examined for progressive loss of vision (30/200) in her left eye and increased foreign body sensation. Slit lamp examination of the left eye revealed diffuse corneal oedema and bullous keratopathy (Fig 1). Broad based iridocorneal adhesion extending anteriorly to the Schwalbe’s line was found by gonioscopy …