Posterior Polymorphous Corneal Dystrophy

This patient at age 42 was diagnosed with glaucoma. At age 60 she was found to have narrow angles and underwent laser iridotomies. Two years later one of her physicians performed laser trabeculoplasty on her (ill advised). When we first saw her she had extensive angle closure with corneal endothelial changes including vesicles. She was diagnosed as having posterior polymorphous corneal dystrophy.