Question:
What are the key clinical findings of relevance in the images?
Answer:
Subtle haze in the cornea affecting the visual axis (black arrow A) and (* B).
Black arrow (B)denotes corneal nerves but this is of no clinical relevance.
Generalised endothelial deposits (guttata) (B).
White arrow (C) shows oedematous stromal thickening. Patient is pseudophakic.
Question:
What additional question would you ask in addition to the clinical examination?
Answer:
How long they have noticed a decline in vision and whether the vision is hazier in the morning. The main symptom of early corneal failure is morning haziness that shows some improvement during the day.In advanced cases then the vision will be hazy through out the day.
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