Dr.SHREESHRUTHI N

Dr.MEENA MENON, Dr. PRIYANKA SUDHAKAR, Dr.Anand Balasubramaniam

Abstract

Cornea plana is a rare congenital condition, characterised by flat cornea and low refractive power. Usually occurring bilaterally, the inheritance could be autosomal dominant or recessive, with each of them having distinct clinical features. Glaucoma due to angle closure is a common association owing to the shallow anterior chamber. We report a case of an elderly lady with bilateral recessive cornea plana, with immature cataract and open angle glaucoma and unilateral micro-cornea. This is a rare entity, with no documentation of such an association, especially in an Indian population. The patient underwent phacoemulsification, following which has been maintained on a single antiglaucoma medication. Her glaucoma has since been stable with no evidence of progression. In conclusion, IOP measurement in these patients can be biased due to varied corneal morphology. However, with proper evaluation and a keen follow up, these challenging cases can be well managed.