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International Ophthalmology

, Volume 35, Issue 1, pp 121–123 | Cite as

Let this be lattice? Dendritiform erosion in lattice dystrophy type I, a source of confusion

  • V. VanlerbergheEmail author
  • S. De Craene
  • Ph. Kestelyn
Photo Essay

Introduction

Lattice dystrophy type I usually presents with symptoms of recurrent erosions. As these erosions frequently follow the branching pattern of the underlying lattice network, they may mimic dendritic herpetic keratitis. This photo-essay shows the difference between a dendritiform erosion in lattice dystrophy type I and a genuine dendritic ulcer.

Manuscript

Lattice dystrophy type I

Lattice dystrophy type I is an autosomal dominant corneal dystrophy, which appears in the first decade of life [1, 2, 4].

Corneal involvement in lattice dystrophy type I is usually bilateral and symmetric. In the early stages, the lesions can appear as irregular, thin branching refractile lines and/or whitish, ovoid dots in the anterior axial stroma with clear intervening stroma. The lines start centrally and increase in size and number with time. They extend to the periphery and involve both the deeper and the superficial stromal tissue. The typical lattice filaments are radially oriented and...

Keywords

Herpes Simplex Keratitis Corneal Dystrophy Central Cornea Herpetic Keratitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Kaufman HE, Barron BA, McDonald MB (1998) The Cornea, second edition—epithelial and stromal dystrophies. Butterworth-Heinemann, BostonGoogle Scholar
  2. 2.
    Kaufman HE, Barron BA, McDonald MB (2000) Companion handbook to the cornea, second edition—epithelial and stromal dystrophies. Butterworth-Heinemann, BostonGoogle Scholar
  3. 3.
    Kaufman HE, Barron BA, McDonald MB (2000) Companion handbook to the cornea, second edition—Varicella-zoster viral infections. Butterworth-Heinemann, BostonGoogle Scholar
  4. 4.
    Krachmer JH, Mannis MJ, Holland EJ (2011) Cornea : fundamentals, diagnosis and management—the stromal dystrophies. Mosby Elsevier, PhiladelphiaGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2014

Authors and Affiliations

  1. 1.Ghent University HospitalGhentBelgium

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