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A 63-year-old female presented for evaluation of blurred vision and complained of mild eye irritation for the past 20 to 30 years. On exam, her best corrected visual acuity was 20/25 in both eyes. The slit lamp exam is demonstrated above with similar findings reportedly seen on exam of her sister and daughter.

1.	The slit lamp images demonstrate involvement of which layer(s) of the cornea?
	a. epithelium b. stroma c. endothelium d. epithelium and stroma e. (a), (b), and (c)
2.	The diagnosis is:
	a. anterior basement membrane corneal dystrophy b. Reis-Bücklers corneal dystrophy c. Thiel-Behnke corneal dystrophy d. granular corneal dystrophy e. Meesmann’s corneal dystrophy
3.	A pathologic specimen would show:
	a. a thickened basement membrane of the epithelium with extension into the epithelium b. Bowman’s layer is disrupted and replaced by a fibrogranular material in a “sawtooth” configuration c. curly fibers beneath the basal epithelium on electron microscopy d. a fibrogranular material, “peculiar substance” in the epithelial cells on electron microscopy e. none of the above
4.	Inheritance is:
	a. autosomal dominant b. autosomal recessive c. x linked d. all of the above e. none of the above

For answers to the above, click here on or after November 9, 2010.