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Year : 2019  |  Volume : 57  |  Issue : 2  |  Page : 180-181

Unilateral megalocornea associated with Fuchs' heterochromic iridocyclitis

Department of Ophthalmology, Mahatma Gandhi Medical College and Research Institute, Puducherry, India

Correspondence Address:
Dr. Muthukrishnan Vallinayagam
No. 114, Inner Ring Road, Flat A4, Triumph Apartments, Arumbakkam, Chennai - 600 106, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjosr.tjosr_31_19

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Fuchs' heterochromic iridocyclitis is an atypical form of chronic nongranulomatous anterior uveitis and is almost always unilateral. It presents with cataract, mild anterior chamber reaction, diffuse stellate keratic precipitates, absence of posterior synechiae, iris hypochromia and glaucoma. It is usually bilateral but may be asymmetrical. Unilateral megalocornea has been reported in a case of lamellar icthyosis. Slit lamp evaluation of right eye of a 70 year old revealed diffusely distributed fine, stellate white keratic precipitates, mild anterior chamber reaction and hypermature morgagnian cataract. Examination also revealed large cornea in right eye with normal pachymetry and keratometry values.

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