PMC10220447_01
(a) Corneal hyperlucency on Anterior Segment Optical Coherence Tomography (AS-OCT) (white arrows). (b and c) Topographic distortion (white circle and gray dashed circle) corresponding to the location of the preoperative corneal pannus, stromal scar, and neovascularization
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F1
Slit-lamp examination was notable for a 1.5 mm x 1.5 mm area of paracentral stromal haze with corresponding mild corneal pannus and neovascularization at the 11 o'clock position in the right eye [Figure 1].
(a) Discrete region of edema consistent with disciform keratitis (white arrows) and previous laceration (black arrow). (b) Beaten bronze appearance of the endothelium (white arrows)
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F2
Seven months after presentation, he continues to have central stromal haze without active KPs, and a beaten bronze-appearing endothelium [Figure 2b].
PMC10220447_02
(a) Opacification of the cornea on Anterior Segment Optical Coherence Tomography (AS-OCT) (white arrow). (b and c) Distortion on corneal topography (white circle and gray dashed circle) in the area of the paracentral stromal scar
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F3
Slit-lamp examination demonstrated a 2.5 mm x 3 mm paracentral nummular scar of the corneal stroma at the 2 o'clock position in the right eye [Figure 3].
(a) Beaten bronze appearance of endothelial (white arrow) and KPs (black arrow). (b) Specular microscopy showing the inability to assess endothelial integrity in the right eye compared to the normal endothelium in the left eye, KPs: Keratic precipitates
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F4
UDVA had declined to 20/50 OD and slit-lamp examination revealed fine KPs and diffuse corneal edema, [Figure 4a] suggestive of herpes endotheliitis. Specular microscopy imaging of the right eye endothelium was unsuccessful and failed to show good endothelial integrity compared to the left eye [Figure 4b].