Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive bilateral blurred vision, notably worse upon awakening in the morning with gradual improvement throughout the day. Reports associated symptoms of glare, halos around lights, and occasional foreign body sensation. No history of ocular trauma or prior refractive surgery.
Clinical Examination Findings
Slit-lamp biomicroscopy reveals bilateral central corneal guttae with associated endothelial pigment dusting. Presence of stromal edema and microcystic epithelial edema noted. Pachymetry demonstrates increased central corneal thickness. Intraocular pressure is within normal limits.
Treatment Protocol
Initiated hypertonic saline (5% NaCl) drops/ointment 4 times daily to manage corneal edema. Advised use of a hair dryer at arm's length in the morning to facilitate corneal dehydration. Scheduled for regular follow-up to monitor progression and assess potential candidacy for endothelial keratoplasty (DMEK/DSAEK).