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Anterior Basement Membrane Dystrophy

Anterior Basement Membrane Dystrophy is also called Epithelial Basement Membrane Dystrophy and Map-Dot-Fingerprint Dystrophy. It appears when the epithelium basement membrane develops abnormally so the epithelial cells cannot adhere to it. This causes erosion of the epithelial layer, causing it to rise and expose a gap between that layer and the rest of the cornea

Symptoms of Epithelial Erosion

During an eye exam, Dr. Rapoza may see Anterior Basement Membrane Dystrophy as large, gray outlines, clusters of dots and fingerprint lines that resemble a map. Some patients are unaware this is occurring because there are no symptoms; others will experience:

  • Severe or moderate pain, especially in the morning
  • Temporary vision problems
  • Feeling of foreign object in the eye
  • Light sensitivity
  • Excessive tearing

Treatment for Epithelial Erosion

  • Eye patch to immobilize the eye
  • Lubricating eye drops and ointments
  • Laser treatment
  • Corneal puncture
  • Corneal scraping

Many patients with this dystrophy have no symptoms and it does not affect vision. It usually occurs in both eyes and usually affects adults between the ages of 40 and 70. . It can also be a significant contributor to astigmatism and might need to be treated surgically prior to cataract surgery to assure optimal IOL power selection.

 

Lattice Dystrophy

Lattice Dystrophy is caused by the accumulation of abnormal protein fibers (amyloid deposits) in the middle and anterior stroma of the eye or under the cornea’s outer layer (epithelium). It is most often found in children age two to seven, but it can occur at any time in life.

What does Lattice Dystrophy look like?

Dr. Rapoza uses a microscope to identify Lattice Dystrophy, which appears like clear, comma-shaped dots and filaments that overlap to create a lattice effect. These lines eventually become opaque, larger and impede vision.

If located on the epithelium, the condition becomes recurrent epithelial erosion. These erosions:

  • Expose corneal nerves, causing severe pain, even when blinking
  • Change the cornea's curvature
  • Result in temporary vision problems
  • Cause light sensitivity

Treatment for Recurrent Epithelial Erosion

  • Eye drops and ointments to reduce pain  
  • Eye patch to immobilize the eyelids  
  • Laser treatment

Corneal Transplant for Lattice Dystrophy

If you have scarring under the epithelium, your vision may be so impaired that a corneal transplant is needed. It’s important to understand that the disease can recur, even in donor corneas.

If you are experiencing any vision problems or eye pain, contact us today to schedule an eye exam in one of our three convenient OCB locations in Boston, Waltham or Danvers, Massachusetts.

 

Appointments/Scheduling: 800-635-0489

 

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News and Events

— December 16, 2014

2015 Leading Physician of the World

Dr. Peter A. Rapoza has been recognized as a 2015 Leading Physician of the World by the International Association of Healthcare…

— December 1, 2014

The PROWL LASIK Study

PROWL stands for Patient Reported Outcome with LASIK. It was a FDA clinical trial started in 2009 to better understand the risk…

— November 25, 2014

Press Release - ORA Advanced Cataract Surgery

Boston, MA – Ophthalmic Consultants of Boston is pleased to announce that it now offers advanced cataract surgery using ORA, a…

— October 1, 2014

Best Doctor Recognition

Dr. Rapoza has been named one of the Best Doctors in America® for 2014 for the thirteenth consecutive year. The highly regarded…

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Boston

50 Staniford Street, Suite 600
Boston, MA 02114

Paid garage parking or street metered parking is available at out 50 Staniford St. location.

Parking is available at 50 Staniford St. in the Longfellow Place Garage. Other garage options include The Garden Garage (located on Lomasney Way) or the Charles River Plaza Deck parking lot, located on Cambridge Street. OCB Clinic: Enter the building and take the elevator to the 6th floor where you will see patient check-in. Boston Eye Surgery and Laser Center: Enter the building. Surgery Center is on 1st floor.

Waltham

52 Second Avenue, Suite 2500
Waltham, MA 02451

Free parking is available in the 52 Second Ave. Parking Garage.

Upon entering the garage, drive under the blue sign that says "52 Second Ave: and bear right heading up the parking ramp to levels P1, P2, P3 or P4. Please note your parking location. Enter the building, take the elevators to the 2nd Floor and follow hallway signs to Ophthalmic Consultants of Boston. OCB Clinic is the 2nd door on right. Surgery Center is the first door on the right.

Contact Information
All Locations: 800-635-0489
 

OCB North Shore - Danvers

104 Endicott Street, Suite 303 
Danvers, MA 01923

Located in the MGH North Shore Center for Outpatient Care. Our office is located on the third floor Suite 303.  

From the South/Boston area: Take I-93 North toward Tobin Bridge. Merge onto Route 1 North. Stay on Route 1 North for approximately 14 miles, then merge onto I-95 North/Route 128 North. Take Exit 24, Endicott Street. At the end of the ramp, go straight through the lights at the intersection into the parking lot.

From the North: Travel 95 South to Danvers. When I-95 and Route 128 split, merge onto Route 128 North. Take Exit 24, Endicott Street. Go straight through the lights at the intersection into the parking lot.