The case presentation on Corneal Opacification by Bsc. OPTOM second year. Themed mainly on figures to the best understanding.

1. CASE PRESENTATION
TOPIC:CORNEAL OPACIFICATION

2. NAME:Abdulla Kutty
AGE:73
GENDER:Male
C/O:Blurring of vision on OU
REFRACTION
RIGHT EYE
Sph Cyl Axis V/A
AR 0.50 1.75 125
DV 0.75 2.00 120 6/9
NV 3.75 2.00 120 N6
PH 6/9

3. FINDINGS
Misc ,
Slit Lamp
K-pannus superiorly , multiple opacities ,
conjuctivochalasis SIMC
Fundus
Disc normal
Vn c PG : 6/9 , N6
UCVA :6/18 , N12

4. LEFT EYE
FINDINGS
Misc ,
Slit lamp
k-pannus,superiotemporal opacity NS+PSC
Fundus
Disc normal
Vn c PG :6/12, N8
UCVA : 6/12,N12
Sph Cyl Axis V/A
AR 4.00 -5.25 125
DV 0.00 0.00 0 6/12
NV 3.00 0.00 0 N8
PH 6/12

5. DEFINITION
It literally means the loss of transparency of
cornea due to scarring.
TYPES OF CORNEAL OPACITY
There classification is based on two varieties
:
1 – Location based
• Central
• Peripheral
• Total

6. 2 – Density / Depth based
• Nebular ( fog / mist )
• Macular ( stain / spot )
• Leucomatous ( white )
Associated with :
a) Adherent Leucoma
b) Kerectasia
c) Anterior Staphyloma
d) Corneal Facet

7. NEBULA

8. MACULA

9. LEUCOMATOUS

10. ADHERENT LEUCOMA

11. KERECTASIA

12. ANTERIOR STAPHYLOMA

13. CORNEAL FACET

14. CAUSES
1) Acquired
Trauma , Infections , Accidents , Scars etc.
2) Congenital
By birth.
Peters Anomaly

15. SCLEROCORNEA
CONGENITAL GLAUCOMA

16. SYMPTOMS
Redness and Swelling of the eye
tissues and eyelid
Tearing
Blurred vision
Irritation
Eye discharge
Milky or cloudy area on cornea
Vision loss

17. RISK FACTORS
 Vitamin A deficiency
 Scarring or infection of eye
 Eye injury like chemical agents and foreign bodies
 Wearing contact lenses overnight
TREATMENT
 Antibiotic,antibacterial,antifungal,or steroidal eye drops
 Topical or oral antiviral medication
 Phototherapeutic keratectomy(laser surgery)
 Cornel transplant

18. PREVENTION
 WEAR PROTECTIVE EYEWEAR
 USE CONTACT LENS CORRECTLY
 HAVE REGULAR EYEEXAMS
 KNOW YOUR FAMILY HISTORY FOR EYE DISEASES