Epithelial Basement Membrane Dystrophy (EBMD)

Epithelial Basement Membrane Dystrophy (EBMD)
SYMPTOMS Blurry vision | Discomfort from corneal erosions
SIGNS Gray-white epithelial opacities (dots, cysts, lines) | Corneal erosions (usually in the morning)
WORK-UP Thorough history. Slit lamp examination
TREATMENT Observation | Nighttime lubricating gel/ointment | Bandage contact lenses | Anterior stromal puncture | Phototherapeutic keratectomy
FOLLOW-UP Frequent follow-ups are rarely necessary.
ETIOLOGY Unknown | There is some thought of an inheritance pattern
DIFFERENTIAL DX Meesmann dystrophy | Reis-Buckler dystrophy | Thiel-Behnke dystrophy
NOTES EBMD is also referred to as Map-Dot-Fingerprint Dystrophy and/or Anterior Basement Membrane Dystrophy