DR. BRIJESH KUMAR KUSHWAHA

DR. KALYAN SINGH MAURYA, DR. TANMAY SRIVASTAV, DR. DEEPAK MISHRA

Abstract

AIM: Meesmann Corneal Dystrophy is a rare hereditary type of superficial corneal dystrophy that follows an autosomal dominant pattern of inheritance. We report a case of Meesmann corneal epithelial degeneration in a north Indian teaching hospital.

Methods: A 17 year boy presented with circumcilliary congestion with decreased visual acuity in both eyes for 6month. RESULTS: At the initial examination, his corrected visual acuity was 6/12 in both eyes. On slit lamp numerous intraepithelial microcysts, particularly in the interpalpebral zone; round-to-oval shaped punctate opacities in the central corneal epithelium with punctate stain positive.

CONCLUSION Meesmann dystrophy is a genetic disorder that persists throughout life usually asymptomatic, may present with dryness and irritation require symptomatic management. In case of recurrent episodes of corneal erosions, surgical intervention may required from recurring and to minimize the severity.