October consultation #5

This patient has a recurrent corneal epithelial defect. Typical causes of recurrent corneal epithelial defect include anterior epithelial basement membrane dystrophy (EBMD) and other corneal dystrophies associated with recurrent epithelial erosions,1 infectious causes, neurotrophic cornea, medicamentosa, floppy eyelid syndrome, and foreign bodies, among others. However, this patient is unique in that she does not have typical slitlamp findings associated with many corneal dystrophies; has been treated extensively for potential infectious causes without positive viral, bacterial, or other culture results; has intact corneal sensation; and has quick recurrence after removal of the BCL and antiinflammatory drops.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation section: Cataract Source Type: research