What is 40 years old man has glare in both eyes. Examination revealed whorl like opacities of corneal epithelium. He gives history of long term treatment with amiodarone. What is the MOST likely diagnosis? and explain in detail?
Cornea veicillata is a whorl - like opacity in corneal epithelium seen in patients on long term treatment with amiodarone, chloroquine, phenothiazine, indomethacin and patients with Fabry disease. It is usually asymptomatic, glare and discomfo may occur. It is reversible on stopping the drug. Ref: Parsons' 21st / pg 214.