Follow-up
Further Outpatient Care
- Patients with epithelial defects from recurrent corneal erosions need to be observed every few days to ensure that the abrasion is healing.
Inpatient & Outpatient Medications
- Patients with epithelial defects from recurrent corneal erosions are treated with topical antibiotics to prevent corneal infection.
Complications
- Complications of macular corneal dystrophy include photophobia; loss of vision; and, less commonly, recurrent corneal erosions.
Prognosis
- Of all stromal corneal dystrophies, macular corneal dystrophy results in the earliest visual loss. This visual loss is due to the lack of clear spaces between the denser gray-white macular opacities.
- Symptomatic patients are eligible for either excimer laser PTK (when the bulk of the opacity is superficial) or, more commonly, corneal transplantation.
More on Dystrophy, Macular |
| Overview: Dystrophy, Macular |
| Differential Diagnoses & Workup: Dystrophy, Macular |
| Treatment & Medication: Dystrophy, Macular |
Follow-up: Dystrophy, Macular |
| Multimedia: Dystrophy, Macular |
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References
Al-Swailem SA, Al-Rajhi AA, Wagoner MD. Penetrating keratoplasty for macular corneal dystrophy. Ophthalmology. Feb 2005;112(2):220-4. [Medline].
Albert D, Jakobiec F. Principles and Practice of Ophthalmology. Vol 1. 1996:26-49.
Edward DP, Yue BY, Sugar J, et al. Heterogeneity in macular corneal dystrophy. Arch Ophthalmol. Nov 1988;106(11):1579-83. [Medline].
Hafner A, Langenbucher A, Seitz B. Long-term results of phototherapeutic keratectomy with 193-nm excimer laser for macular corneal dystrophy. Am J Ophthalmol. Sep 2005;140(3):392-6. [Medline].
Klintworth GK, Meyer R, Dennis R, et al. Macular corneal dystrophy. Lack of keratan sulfate in serum and cornea. Ophthalmic Paediatr Genet. Dec 1986;7(3):139-43. [Medline].
Krachmer J. Cornea. Vol 2. 1996.
Wirtitsch MG, Ergun E, Hermann B. Ultrahigh resolution optical coherence tomography in macular dystrophy. Am J Ophthalmol. Dec 2005;140(6):976-983. [Medline].
Further Reading
Keywords
corneal dystrophy, corneal stroma, anterior corneal dystrophy, stromal corneal dystrophy, posterior corneal dystrophy, corneal dystrophies
Follow-up: Dystrophy, Macular