Inherited Corneal Disorders: Diagnosis and Clinical Management Quiz

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| Attempts: 11 | Questions: 28 | Updated: Oct 24, 2025
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1. Which eye condition is characterized by the following symptoms: after age 40, bilateral, can be auto-dominant, ghost images, irregular astigmatism, RCEs, visual distortion?

Explanation

Map-Dot-Fingerprint dystrophy (epithelium) is a condition that affects the corneal epithelium, leading to various visual disturbances. Glaucoma, macular degeneration, and cataracts are eye conditions with different causes and symptoms compared to Map-Dot-Fingerprint dystrophy.

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About This Quiz
Inherited Corneal Disorders: Diagnosis And Clinical Management Quiz - Quiz

This educational resource focuses on corneal diseases, assessing key aspects of diagnosis and treatment. It is designed to enhance understanding for students preparing for their ocular disease finals, emphasizing practical knowledge and clinical skills relevant to future eye care professionals.

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2. Which eye condition is characterized by ghost images, irregular astigmatism, RCEs, and visual distortion, typically occurring after the age of 40, often bilaterally, and can be autosomal dominant?

Explanation

Map-Dot-Fingerprint dystrophy (epithelium) is a condition that affects the epithelium of the cornea, leading to the symptoms described in the question. Glaucoma, cataracts, and macular degeneration are common eye conditions but do not typically present with the specific characteristics mentioned.

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3. Which condition is characterized by the following symptoms: After age 40; bilateral; can be auto-dominant; ghost images, irregular astigmatism, RCEs, visual distortion?

Explanation

Map-Dot-Fingerprint dystrophy (epithelium) commonly presents with the mentioned symptoms including irregular astigmatism, RCEs, and visual distortion. It tends to occur after the age of 40 and can have an auto-dominant inheritance pattern.

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4. What eye condition typically presents after age 40, affects both eyes, can be autosomal dominant, and is characterized by symptoms such as ghost images, irregular astigmatism, recurrent corneal erosions, and visual distortion?

Explanation

Map-Dot-Fingerprint dystrophy (epithelium) is a specific type of corneal dystrophy that commonly manifests after age 40, affects both eyes, and can be inherited in an autosomal dominant pattern. It is associated with symptoms such as ghost images, irregular astigmatism, recurrent corneal erosions, and visual distortion. Glaucoma, cataracts, and macular degeneration are different eye conditions that do not typically present with the described symptoms and characteristics of Map-Dot-Fingerprint dystrophy.

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5. Which condition is characterized by first decade onset, autosomal dominant inheritance, decreased corneal sensitivity, and frequent Recurrent Corneal Erosions (RCEs)?

Explanation

Reis-Buckler Dystrophy or Thiel-Behnke Dystrophy is characterized by specific features such as decreased corneal sensitivity and RCEs. Fuchs' Endothelial Dystrophy primarily affects the innermost layer of the cornea (Descemet's membrane). Keratoconus involves thinning and outward bulging of the cornea's stromal layer. Map-Dot-Fingerprint Dystrophy affects the superficial epithelial layer of the cornea.

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6. First decade; autosomal dominant; decreased corneal sensitivity, frequent RCEs.

Explanation

Reis-Buckler Dystrophy and Thiel-Behnke Dystrophy are both rare inherited corneal dystrophies that affect Bowman's layer, leading to decreased corneal sensitivity and recurrent corneal erosions. Keratoconus, Fuchs Endothelial Dystrophy, and Map-Dot-Fingerprint Dystrophy are other types of corneal dystrophies that present with different clinical features and affect different layers of the cornea.

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7. What is the condition characterized by decreased corneal sensitivity and frequent recurrent corneal erosions, commonly known as Thiel-Behnke Dystrophy or Reis-Buckler Dystrophy, affecting the Bowman's layer?

Explanation

Reis-Buckler Dystrophy (Thiel-Behnke Dystrophy) is characterized by decreased corneal sensitivity and frequent recurrent corneal erosions, affecting the Bowman's layer. Other corneal dystrophies such as Keratoconus primarily involve changes in Descemet's membrane. Fuchs' Endothelial Dystrophy affects the endothelium, and Map-Dot-Fingerprint Dystrophy typically involves the anterior stroma of the cornea.

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8. Which eye condition is characterized by onset in the 1st-2nd decade, autosomal dominant inheritance, starts unilateral and becomes bilateral, and presents with decreased corneal sensation?
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9. Which condition presents with symptoms such as onset in the 1st-2nd decade, autosomal dominant inheritance, unilateral to bilateral progression, and decreased corneal sensation?

Explanation

Schnyder's Crystalline dystrophy is characterized by the deposition of cholesterol crystals in the cornea affecting Bowman's and stroma layers. Fuchs' endothelial dystrophy affects Descemet's membrane and endothelium, Keratoconus causes thinning and bulging of the cornea, and Map-dot-fingerprint dystrophy involves the epithelium of the cornea.

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10. Which of the following conditions presents with the following characteristics: 1st-2nd decade onset; autosomal dominant inheritance; starts unilateral and becomes bilateral; decreased corneal sensation?

Explanation

Schnyder's Crystalline Dystrophy is a rare genetic condition characterized by the deposition of crystalline cholesterol in the cornea affecting Bowman's and stroma. The other conditions mentioned as incorrect answers have different pathologies and clinical characteristics.

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11. Which genetic disorder presents with symptoms such as decreased corneal sensation, affecting Bowman's and stroma in the 1st-2nd decade, and follows an autosomal dominant pattern?

Explanation

Schnyder's Crystalline dystrophy is a genetically inherited disorder characterized by bilateral opacities in the cornea, impacting Bowman's and stroma. It typically presents in the 1st-2nd decade of life and exhibits an autosomal dominant pattern of inheritance. Keratoconus, Fuchs' Endothelial Dystrophy, and Map-dot-fingerprint dystrophy are other corneal disorders with different characteristics and inheritance patterns.

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12. What condition appears before adolescence, has symptoms manifesting by age 40, is autosomal dominant and bilateral, and presents with recurrent corneal erosions, photophobia, and deteriorating vision?

Explanation

Granular (Bread crumb) dystrophy, specifically Groenouw Type 1, is a common corneal dystrophy that presents with specific signs and symptoms. The other three incorrect answers represent different types of corneal dystrophies with distinct features that help differentiate them from Granular dystrophy.

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13. What eye condition appears before adolescence, presents with symptoms by age 40, is autosomal dominant and bilateral, and is characterized by recurrent corneal erosions, photophobia, and deteriorating vision?

Explanation

Granular (Bread crumb) dystrophy; Groenouw Type 1 is a common condition that presents with specific symptoms such as recurrent corneal erosions, photophobia, and deteriorating vision. The other incorrect answers are different types of corneal dystrophies that do not match the given description.

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14. What eye condition appears before adolescence, presents with symptoms by the age of 40, is autosomal dominant and bilateral, causing recurrent corneal erosions, photophobia, and deteriorating vision?

Explanation

Granular (Bread crumb) dystrophy, specifically Groenouw Type 1, is characterized by the symptoms mentioned in the question. Macular dystrophy primarily affects the central cornea, unlike Granular dystrophy. Keratoconus is a condition involving progressive thinning and bulging of the cornea, not associated with the mentioned symptoms. Fuchs' endothelial dystrophy affects the inner layer of the cornea, leading to fluid buildup, different from the presentation described in the question.

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15. What eye condition appears before adolescence, presents with symptoms by 40, is autosomal dominant and bilateral, and is characterized by recurrent corneal erosions, photophobia, and deteriorating vision?

Explanation

Granular (Bread crumb) dystrophy is a form of corneal dystrophy that typically appears before adolescence and presents with symptoms by 40. It is characterized by autosomal dominant inheritance and bilateral involvement. Symptoms include recurrent corneal erosions, photophobia, and deteriorating vision. In Granular dystrophy, the peripheral cornea is typically spared, which helps differentiate it from Macular dystrophy, where the central cornea is affected.

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16. This condition appears before adolescence, with symptoms manifesting by age 40. It is characterized by autosomal dominant and bilateral inheritance, symptoms include recurrent corneal erosions, photophobia, and deteriorating vision. What is the correct diagnosis?

Explanation

Granular (Bread crumb) dystrophy, also known as Groenouw Type 1, is a common condition characterized by particular features such as bilateral involvement, recurrent corneal erosions, and peripheral sparing. Lattice dystrophy, Fuchs endothelial dystrophy, and Macular dystrophy are different corneal dystrophies with distinct clinical presentations and inheritance patterns, making them incorrect choices in this scenario.

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17. Appears before adolescence; Symptoms by 40; Autosomal dominant and bilateral; Recurrent corneal erosions, photophobia, deteriorating vision.

Explanation

Corneal dystrophies are a group of genetic, bilateral, non-inflammatory disorders that involve one or more layers of the cornea. Granular dystrophy is characterized by the presence of breadcrumb-like opacities in the corneal stroma. It is important to differentiate between different types of corneal dystrophies based on their clinical presentation and genetic inheritance patterns.

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18. After age 20; Autosomal dominant; Dutch/ Finnish/ Scottish; few RCEs, decreased vision in 60s.  

Explanation

The correct answer is Lattice dystrophy type 2, which is associated with Meratoja syndrome. Macular degeneration, Retinitis pigmentosa, and Keratoconus are not typically characterized by autosomal dominant inheritance, a specific ethnicity association, few RCEs, and decreased vision in the 60s.

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19. Question: Which type of dystrophy is characterized by onset after age 40, autosomal recessive inheritance, Japanese ethnicity, visual decrease by 60, and no RCEs?

Explanation

Lattice dystrophy type 3 is the correct answer because it aligns with the specific characteristics mentioned in the question, such as onset after age 40, autosomal recessive inheritance, the association with Japanese ethnicity, visual decrease by 60, and the absence of recurrent corneal erosions (RCEs). The other incorrect answers do not fit the description provided in the question.

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20. 1st decade; autosomal recessive, poor vision by age 20; high photophobia and few RCEs, central corneal thinning and decreased sensitivity.

Explanation

The provided question and correct answer describe the characteristics of Macular dystrophy (Groenouw type 2), particularly its manifestation in the first decade of life, autosomal recessive inheritance pattern, poor vision by age 20, high photophobia and few Recurrent Corneal Erosions (RCEs), central corneal thinning, and decreased sensitivity. It is an uncommon stromal dystrophy. The three incorrect answers were chosen because they are eye conditions with different characteristics compared to the described features of Macular dystrophy (Groenouw type 2).

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21. Which eye condition is characterized by the 1st decade onset, autosomal recessive inheritance, poor vision by age 20, high photophobia, few recurrent corneal erosions (RCEs), central corneal thinning, and decreased sensitivity?

Explanation

Macular dystrophy (Groenouw type 2) fits the description provided, specifically known for its rarity and primarily affecting the stroma of the cornea.

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22. 1st decade; autosomal recessive, poor vision by age 20; high photophobia and few RCEs, central corneal thinning and decreased sensitivity.

Explanation

The provided symptoms align with Macular dystrophy (Groenouw type 2), an autosomal recessive condition manifesting in the 1st decade with poor vision and unique characteristics like central corneal thinning. Retinitis pigmentosa, Keratoconus, and Fuchs endothelial corneal dystrophy present with distinct features not mentioned in the question.

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23. 1st decade; autosomal recessive, poor vision by age 20; high photophobia and few RCEs, central corneal thinning and decreased sensitivity.

Explanation

The described symptoms align with Macular dystrophy (Groenouw type 2), characterized by central corneal thinning and decreased sensitivity. Retinitis pigmentosa, Keratoconus, and Fuchs endothelial corneal dystrophy have distinct clinical presentations different from the symptoms mentioned.

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24. Which ocular condition presents with autosomal dominant inheritance, asymmetric presentation, no decrease in vision, decreased corneal sensation, and severe photophobia?

Explanation

Fleck Dystrophy of Francois-Neeten is a rare corneal condition that typically presents with the described symptoms. Keratoconus, Fuchs' Endothelial Dystrophy, and Map-Dot-Fingerprint Dystrophy have different clinical characteristics and are not associated with all the symptoms mentioned in the question.

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25. What is a dominantly inherited condition that is present before age 1, asymptomatic until later in life, and presents with irritation, photophobia, and recurrent corneal erosions?

Explanation

Meesmann's Dystrophy is a genetic condition that primarily affects the epithelium of the cornea, leading to symptoms such as irritation, photophobia, and recurrent corneal erosions. It typically manifests in early childhood but remains asymptomatic until later in life. Fuchs' Dystrophy affects the endothelium, Keratoconus affects the stroma, and Map-Dot-Fingerprint Dystrophy affects Bowman's layer of the cornea, presenting with different symptoms and characteristics.

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26. Which eye condition is dominantly inherited, present before age 1, asymptomatic until later in life, and characterized by irritation, photophobia, and recurrent corneal erosions?

Explanation

Meesmann's Dystrophy (epithelium) is a rare genetic disorder that affects the cornea, causing discomfort and recurrent corneal erosions later in life. It is dominantly inherited and typically presents early in life without symptoms. Keratoconus, Fuchs' Dystrophy, and Retinitis Pigmentosa are other eye conditions with different etiologies and symptoms.

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27. What is a dominantly inherited condition that is present before age 1, asymptomatic until later in life, and presents with irritation, photophobia, and recurrent corneal erosions?

Explanation

Meesmann's Dystrophy is a genetic condition affecting the corneal epithelium, presenting with symptoms such as irritation, photophobia, and recurrent corneal erosions. It typically remains asymptomatic until later in life. Stevens-Johnson Syndrome, Keratoconus, and Corneal Ulcers are not dominantly inherited conditions that match the described symptoms and timeline of presentation.

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28. Which condition is dominantly inherited, present before age 1, asymptomatic until later in life, and characterized by irritation, photophobia, and recurrent corneal erosions?

Explanation

Meesmann's Dystrophy is a rare genetic disorder that primarily affects the corneal epithelium, leading to symptoms such as irritation, photophobia, and recurrent corneal erosions. The other conditions listed, while also involving the cornea, do not match all the specific criteria mentioned in the question.

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Which eye condition is characterized by the following symptoms: after...
Which eye condition is characterized by ghost images, irregular...
Which condition is characterized by the following symptoms: After age...
What eye condition typically presents after age 40, affects both eyes,...
Which condition is characterized by first decade onset, autosomal...
First decade; autosomal dominant; decreased corneal sensitivity,...
What is the condition characterized by decreased corneal sensitivity...
Which eye condition is characterized by onset in the 1st-2nd decade,...
Which condition presents with symptoms such as onset in the 1st-2nd...
Which of the following conditions presents with the following...
Which genetic disorder presents with symptoms such as decreased...
What condition appears before adolescence, has symptoms manifesting by...
What eye condition appears before adolescence, presents with symptoms...
What eye condition appears before adolescence, presents with symptoms...
What eye condition appears before adolescence, presents with symptoms...
This condition appears before adolescence, with symptoms manifesting...
Appears before adolescence; Symptoms by 40; Autosomal dominant and...
After age 20; Autosomal dominant; Dutch/ Finnish/ Scottish; few RCEs,...
Question: Which type of dystrophy is characterized by onset after age...
1st decade; autosomal recessive, poor vision by age 20; high...
Which eye condition is characterized by the 1st decade onset,...
1st decade; autosomal recessive, poor vision by age 20; high...
1st decade; autosomal recessive, poor vision by age 20; high...
Which ocular condition presents with autosomal dominant inheritance,...
What is a dominantly inherited condition that is present before age 1,...
Which eye condition is dominantly inherited, present before age 1,...
What is a dominantly inherited condition that is present before age 1,...
Which condition is dominantly inherited, present before age 1,...
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