New international classification of corneal dystrophies and clinical landmarks

• Published in: Klinische Monatsblatter fur Augenheilkunde Vol. 225; no. 7; p. 616
• Main Authors: Lisch, W, Seitz, B
• Format: Journal Article
• Language: German
• Published: Germany 01-07-2008
• Subjects: Corneal Dystrophies, Hereditary - classification; Corneal Dystrophies, Hereditary - diagnosis; Corneal Dystrophies, Hereditary - genetics; Diagnosis, Differential; Diagnostic Techniques, Ophthalmological; Humans; International Classification of Diseases; Terminology as Topic
• ISSN: 1439-3999
• DOI: 10.1055/s-2008-1027552

The International Committee on Classification of Corneal Dystrophies, briefly IC (3)D, was founded with the sponsorship of the American Cornea Society and the American Academy of Ophthalmology in July 2005. This committee consists of 17 corneal experts (1) from USA, Asia and Europe. The goal of this group was to develop a new, internationally accepted classification of corneal dystrophies (CD) based on modern clinical, histological and genetical knowledge. The aim of the new classification should be to avoid wrong interpretations and misnomers of the different forms of CD. The IC (3)D extensive manuscript is in press as Supplement publication in the journal "Cornea". The 25 different CD are divided in four categories by clinical and genetical knowledge. Additionally, templates for each type of CD are included. Finally, many typical color slit-lamp photos are presented in the publication together with essential references and current genetical results in tabular form. As members of IC (3)D the authors present a clinical landmark survey of the different corneal dystrophies. The ophthalmologist is the first to examine and to diagnose a new patient with a probable CD at the slit-lamp. Our elaborated table of landmarks is supposed to be a "bridge" for the ophthalmologist to precisely define the corneal opacities of a presumed CD. This "bridge" makes it easier for them to study the IC (3)D Supplement publication and to get more information including adequate differential diagnosis.