Fingerprint microcystic dystrophy: Episodes of irregular astigmatism and their topographical representation

Abstract

Case studyA 44-year-old male patient suffering from painless bouts of blurred vision and with no visible ophthalmological repercussions initially. After one of these clinical episodes we managed to visualise fingerprint images in the anterior pole, as well as corneal, pachymetric and topographical changes, which in turn produce the symptomatic refractive changes. DiscussionFingerprint keratopathy is a condition diagnosed through recurring corneal erosion. The pathogenic origin of the condition –an altered epithelial basal membrane –may encourage the separation of the corneal epithelium from its underlying layers. Depending on whether this separation is partial or total, this will lead to spontaneous corneal erosion or, less frequently, episodes of blurred vision caused by oedema and corneal swelling.