Granular Dystrophy

Granular Dystrophy (GD)
		SYMPTOMS	Blurry vision \| Discomfort from corneal erosions
		SIGNS	Stromal, white, “crumb-like” opacities \| Usually the periphery is clear \| Corneal erosions are rare
		WORK-UP	Thorough history. Slit lamp examination
		TREATMENT	Observation \| Lubrication for corneal erosions \| Corneal transplant in advanced cases
		FOLLOW-UP	Every 6-12 months
		ADDITIONAL LAB \| TESTS	None
		ETIOLOGY	Inherited (autosomal dominant)
		DIFFERENTIAL DX	Macular dystrophy \| Lattice dystrophy
		NOTES	GD involves hyaline deposition \| GD can recur after corneal transplant \| GD has different subtypes