A 40-year-old patient with pigment dispersion syndrome is found to have heavily pigmented trabecular meshwork on gonioscopy, with pigment deposits on the corneal endothelium in a vertical spindle pattern. What is the name given to this characteristic corneal pigment deposition?
- A Krukenberg spindle ✓
- B Fleischer ring
- C Hudson-Stahli line
- D Kayser-Fleischer ring
Correct answer: A. Krukenberg spindle
Explanation
Krukenberg spindle is the vertical spindle-shaped pigment deposition on the central corneal endothelium seen in pigment dispersion syndrome. It consists of pigment-laden macrophages. Fleischer ring is seen in keratoconus. Hudson-Stahli line is iron deposition in the corneal epithelium. Kayser-Fleischer ring is copper deposition in Wilson disease.
Reference: Yanoff D, Duker JS, Ophthalmology, 5th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.