Map-dot-fingerprint Dystrophy Differential Diagnoses

Updated: Feb 14, 2019
  • Author: David D Verdier, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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DDx

Diagnostic Considerations

Corneal abrasion

Corneal epithelial suture lines can occur with healing or partial abrasions and mimic fingerprints.

Elevated intraocular pressure and/or corneal decompensation

Corneal pseudofingerprints or shift lines (a manifestation of corneal epithelial edema; see image below) can be seen with elevated intraocular pressure and/or corneal decompensation, in the following conditions: [16]

  • Glaucoma
  • Fuchs corneal endothelial dystrophy
  • Pseudophakic or aphakic corneal decompensation
  • Congenital hereditary endothelial dystrophy
  • Posterior polymorphous dystrophy
  • Keratouveitis
  • Corneal trauma with endothelial cell damage
Pseudofingerprints (shift lines) in a patient with Pseudofingerprints (shift lines) in a patient with Fuchs corneal dystrophy.

Fuchs endothelial dystrophy

Corneal epithelial edema in Fuchs endothelial dystrophy can appear as focal shift lines or blebs.