Corneal Verticillata

Corneal Verticillata
SYMPTOMS Mostly asymptomatic | Rarely is vision affected
SIGNS Whorl-like corneal epithelial opacities | Usually gray or golden brown
WORK-UP Thorough history. Slit lamp examination
TREATMENT Observation | Discontinuation of the causing medication is typically not required
FOLLOW-UP Annually
ADDITIONAL LAB | TESTS None
ETIOLOGY There are several causes of corneal verticillata, including: Fabry disease | Chloroquine | Hydroxychloroquine | Amiodarone | Indomethacin
DIFFERENTIAL DX Lisch corneal dystrophy | Hudson-Stahli line
NOTES Corneal verticillata is also commonly referred to as Whorl (or Vortex) Keratopathy