Mindoro blindness from corneal degeneration

ABSTRACT

The Mindoro corneal blindness is a difficult ophthalmological problem in the Philippines. It is degenerative in nature and familial in tendency, with heredity, nutrition and trauma as probable additional factors. There are no evidences to consider it a part of a dermatological, so-called "lapnus syndrome," and there are insufficient findings to incriminate stored rice as the sole cause of it. It is certainly not due to ariboflavinosis. A small, 6.5 mm., central penetrating corneal transplant may remain transparent for many years in the early cases. For moderately advanced cases, it seems to be the first choice, but for the advanced cases, a wide, 9 mm. or more, penetrating keratoplasty, has been followed by opacification of the graft after about a month. A preliminary wide anterior lamellar grafting needs further trial for those advanced casesThe pathologic picture of degenerative keratopathy may be distinct and pure in the beginning but as the lesion advances, those of inflammation, proliferation, death and even necrosis may appear probably because of biological chain reactionsThe pathogenesis of degenerative keratopathies is probably a disturbance or a defect in one or more parts of the metabolic mechanism which interferes with one or more events in metabolismThe etiology of degenerative keratopathies is often multiple and varies with race, heredity, geography, nutrition and other factorsDegenerative keratopathies should be studied along cellular and non-cellular aspects. (Conclusions)