Article Text

Annular granular corneal opacity: a rare corneal stromal dystrophy or degeneration?
  1. J C KHAN,
  2. G N SHUTTLEWORTH
  1. Bristol Eye Hospital, Lower Maudlin Street, Bristol BS1 2LX
  1. J C Khan, Department of Ophthalmology, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ

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Editor,—Very rare, subtle conditions of the cornea may be infrequently reported but can provide valuable insights into the workings and diseases of the cornea. We report an unusual appearance of corneal rings in an asymptomatic patient with no similar abnormalities detected in first degree relatives.

CASE REPORT

A 56 year old white female emmetrope (20/20 both eyes) presented with photopsia secondary to posterior vitreous separation. Bilateral, thin (<0.5 mm), grey-white, granular but continuous, mid-peripheral stromal corneal ring opacities were incidentally noted (Figs 1 and 2). The rings were 7–8 mm diameter and in cross section were “V”-shaped: widest nearest to Descemet's …

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