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JAMA Ophthalmology Clinical Challenge
June 2017

An Unusual Corneal Degeneration

Author Affiliations
  • 1Ophthalmic Plastic Surgery, Massachusetts Eye and Ear Infirmary, Boston
  • 2Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts
  • 3Cornea and External Diseases, Massachusetts Eye and Ear Infirmary, Boston
JAMA Ophthalmol. 2017;135(6):667-668. doi:10.1001/jamaophthalmol.2016.5163

A man in his 50s with an unremarkable ocular history was referred for atypical corneal deposits of the right eye. On examination, visual acuity was 20/25 OD with correction, and the superior cornea showed an intact epithelium, mild stromal thinning, and pannus with faint yellow-white subepithelial deposits at the leading edge (Figure 1A). There were no other abnormalities reported on examination. The patient was treated conservatively with lubrication.

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