Central cornel guttae
Pigments on posterior corneal surface
Gray and thickened appearance of Descemet’s membrane
In advanced cases, endothelium has a ‘beaten-bronze’( melanin deposition).
Painless decrease in vision and glare, severe on awakening
Stromal edema (ground glass appearance)
Microcystic epithelial edema (occurs when stromal thickness has been increased by about 30%).
Episodes of pain
Formation of epithelial and sub epithelial bullae, which rupture.
Visual acuity reduced to hand movements
No painful attacks
Appearance of sub epithelial scar tissue.