Keratoendotheliitis fugax hereditaria
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| Keratoendotheliitis fugax hereditaria | |
|---|---|
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Recurrent episodes of corneal edema, blurred vision, and photophobia |
| Complications | N/A |
| Onset | Typically in childhood or adolescence |
| Duration | Episodes last for a few days |
| Types | N/A |
| Causes | Genetic |
| Risks | Family history of the condition |
| Diagnosis | Clinical examination, slit lamp examination |
| Differential diagnosis | Herpes simplex keratitis, Fuchs' dystrophy |
| Prevention | N/A |
| Treatment | Topical corticosteroids, hypertonic saline |
| Medication | N/A |
| Prognosis | N/A |
| Frequency | Rare |
| Deaths | N/A |
Keratoendotheliitis Fugax Hereditaria is a rare, hereditary eye condition characterized by transient episodes of corneal inflammation and opacities. This condition primarily affects the corneal endothelium, leading to temporary vision disturbances.
Clinical Presentation
Patients with Keratoendotheliitis Fugax Hereditaria typically experience recurrent episodes of corneal edema and opacities. These episodes can cause symptoms such as blurred vision, photophobia, and mild eye discomfort. The opacities usually resolve spontaneously within a few days, but they may recur periodically.
Pathophysiology
The exact pathophysiological mechanism of Keratoendotheliitis Fugax Hereditaria is not fully understood. It is believed to involve an inflammatory process affecting the corneal endothelium, possibly triggered by environmental factors or stress. The hereditary nature of the condition suggests a genetic component, although specific genetic mutations have not been conclusively identified.
Diagnosis
Diagnosis of Keratoendotheliitis Fugax Hereditaria is primarily clinical, based on the characteristic episodic nature of the corneal opacities and the patient's family history. Slit-lamp examination during an episode can reveal the presence of corneal edema and opacities. Other diagnostic tests, such as corneal topography and specular microscopy, may be used to assess the corneal endothelium.
Management
There is no specific treatment for Keratoendotheliitis Fugax Hereditaria. Management focuses on alleviating symptoms during episodes. Patients may be advised to use topical corticosteroids or nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and discomfort. Regular follow-up with an ophthalmologist is recommended to monitor the condition.
Prognosis
The prognosis for individuals with Keratoendotheliitis Fugax Hereditaria is generally good, as the condition does not typically lead to permanent vision loss. However, the recurrent nature of the episodes can impact the quality of life, and patients may require ongoing management to control symptoms.
See Also
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Contributors: Prab R. Tumpati, MD