SUMMARY
Keratoconus is found in conjunction with many ocular and nonocular disorders. The present case shows a 42-year-old patient with bilateral keratoconus and bilateral Fuchs corneal endothelial dystrophy. The patient underwent corneal evaluation in terms of: biomicroscopy, pachymetry, corneal topography, keratoscopy, specular microscopy and ceratoesthesiometry besides other relevant ophthalmic procedures. The biomicroscopy showed central cornea guttata and corneal ectasia. The pachymetry disclosed central corneal thinning. The corneal topography demonstrated classic irregular astigmatism with inferior midperiphery steepening. The ceratoesthesiometry was consistent with a decrease in corneal sensitivity. The specular microscopy disclosed advanced cornea guttata with areas of complete loss of the endotelial mosaic pattern.
The findings in this patient support previous observations that keratoconus and Fuchs' dystrophy can be concurrent, although one cannot conclude inheritance patterns based on this limited evaluation.