Case report: Salzmann's nodular degeneration

Abstract

A case of unilateral Salzmann's nodular degeneration of the cornea is reported. The elevated corneal nodules were accompanied by a prominent Hudson‐like, iron line.

Salzmann's nodular degeneration of the cornea

“…In contrast to Case 2, the degeneration in the first case was unilateral whereas most cases are bilateral. 2,5 The 'chronic conjunctivitis' referred to by the patient in Case 2 was likely to have been of vernal origin. Table 2 lists some differential diagnoses that the practitioner should consider if a patient is suspected of having Salzmann's nodular degeneration.…”

“…Salzmann's nodular degeneration is a rare condition characterised by elevated bluish-white to grey subepithelial nodules in the cornea. [1][2][3][4][5][6][7][8][9][10] The disease is seen more often in women and is bilateral in 80 per cent of patients. 4 Some cases have been reported with a possible autosomal inheritance pattern.…”

“…10 Occasionally, epithelial iron deposits are seen surrounding the base of the nodules. 3,5,6 Diminished visual acuity, without irritative phenomena may cause the patient to consult an eye care practitioner. 10 The effect of the nodules on visual acuity is dependent on their location.…”