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Year : 2004  |  Volume : 52  |  Issue : 4  |  Page : 348

Lattice corneal dystrophy.

Correspondence Address:
Nikhil S Gokhale

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Source of Support: None, Conflict of Interest: None

PMID: 15693341

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How to cite this article:
Gokhale NS. Lattice corneal dystrophy. Indian J Ophthalmol 2004;52:348

How to cite this URL:
Gokhale NS. Lattice corneal dystrophy. Indian J Ophthalmol [serial online] 2004 [cited 2020 Jun 3];52:348. Available from: http://www.ijo.in/text.asp?2004/52/4/348/14546

Dear Editor,

I congratulate Dr. Sridhar for publishing an interesting case.[1] In India we often come across patients with leaking corneal fistulas with normal digital pressure. The primary reason for this is an improper management of a perforated corneal ulcer. Patients often present months or years after the corneal ulcer has resolved. I have had the experience of treating several such patients in my clinical practice. The decision to operate these eyes must be taken very carefully after explaining the possible problems and likely outcomes to the patients. A corneal graft gives the best approach to reconstruct and reform the anterior chamber. A trabeculectomy with antimetabolite should always be combined with the corneal graft in these eyes to provide an alternative drainage channel.

I have two suggestions with regards to this case.

An ultrasound biomicroscopy preoperatively is often useful to evaluate the angle of the anterior chamber in these eyes.

The authors should have considered doing a trabeculectomy at the time of the initial surgery.

  References Top

Sridhar MS, Sridhar U, Vemuganti GK, Mandal AAK, Lattice Corneal dystrophy type III with corneal fistula. A case report Indian J Ophthalmol 2004;52:236-38.  Back to cited text no. 1


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