DR.SREE DIVYA KOYA

DR.SUDHAKAR POTTI

Abstract

A 46 year old female presented with decreased vision both eyes since 2yrs.On examination best corrected visual acuity was OD-6/18, OS-6/36

SLITLAMP EXAMINATION:OU-MULTIPLE BREAD CRUMBS like opacities at anterior stromal level,with translucent lines in LACY PATTERN in intervening stroma & multiple Guttae at endothelial level were found,lens-OU NS grade1-2

AS-OCT:OU-homogenous hyper-reflective depositions at stromal level representing stromal dystrophies & hyper-reflective Descement’s membrane with endothelial bleb suggestive of early GUTTAE formation were noted

Thus Patient was diagnosed as Avellino’s dystrophy(Granular+Lattice) with Fuch’s dystrophy & advised OS-Triple procedure

We are reporting this case,as Avellino’s dystrophy is a rare dystrophy with incidence of 8/10000 and only 2 families with familial inheritance were reported from India. Further presentation of Fuch’s dystrophy with Avellino’s dystrophy is not reported, in our literature search from major peer reviewed journals