Cornea verticillata
| Cornea verticillata | |
|---|---|
| Other names | Fleischer vortex[1] |
 | |
| Cornea verticillata: A bilateral, whorl-like corneal pattern of cream colored lines in a patient with Fabry disease. | |
| Specialty | Ophthalmology |
| Treatment | Discontinuation of the offending drug results in complete resolution of the opacity. |
Cornea verticillata, also called vortex keratopathy or whorl keratopathy, is a condition characterised by corneal deposits at the level of the basal epithelium forming a faint golden-brown whorl pattern.[2] It is seen in Fabry disease or in case of prolonged amiodarone intake.[3]
Causes
Amiodarone
Fabry’s disease
Chloroquine
Hydroxychloroquine
Indomethacin
Phenothiazines etc.
Presentation
No ocular complaints or visual difficulty is usually present.[3][4]
Pathophysiology
This keratopathy is probably a type of drug-induced lipidosis.[3]
Diagnosis
Slit Lamp Biomicroscopy
With Proper History & Investigation if required
Doesn't need any treatment because vision is not affected in this. Cessation of therapy can be done.
References
- ^ "Definition: 'Cornea Verticillata'". MediLexicon. Retrieved 29 November 2013.
- ^ van der Tol, Linda; Sminia, Marije L; Hollak, Carla E M; Biegstraaten, Marieke (2016). "Cornea verticillata supports a diagnosis of Fabry disease in non-classical phenotypes: results from the Dutch cohort and a systematic review". British Journal of Ophthalmology. 100 (1): 3–8. doi:10.1136/bjophthalmol-2014-306433. ISSN 0007-1161.
- ^ a b c Chew, E; Ghosh, M; McCulloch, C (June 1982). "Amiodarone-induced cornea verticillata". Canadian Journal of Ophthalmology. 17 (3): 96–9. PMID 7116220.
- ^ Graff, Jordan M. (February 21, 2005). "Verticillata". University of Iowa Health Care, Ophthalmology and Visual Sciences. Retrieved 29 November 2013.