Case Report
Tropheryma whipplei Crystalline Keratopathy: Report of a Case and Updated Review of the Literature
Table 1
Review of cases reporting intraocular crystalline or crystalline-like deposits in the setting of Whipple’s disease.
| Report | Age | Gender | Location of deposits | Diagnosis | Systemic findings at presentation |
| Current case | 49 | Male | Corneal endothelium | Heart valve and lymph node Bx | Arthralgias |
Thaler et al. [9] | 56 | Male | Anterior chamber | Vitreous and duodenal PCR, duodenal Bx | Arthralgias |
Williams et al. [18] | 62 | Male | Intraocular lens, capsular bag, iris | Vitreous and lens capsule biopsy and PCR | Arthritis Fevers |
Lim et al. [14] | 23 | Male | Preretinal or inner retinal | Vitreous PCR, jejunal Bx | Anemia, lymphadenopathy, diarrhea, malnutrition |
Rickman et al. [20] | 59 | Female | Corneal endothelium | Vitreous biopsy, EM, PCR | Arthritis |
Avila et al. [22] | 33 | Female | Subretinal | Small bowel biopsy showing PAS positive granules, EM | Fever, anorexia, diarrhea, weight loss |
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Bx: biopsy; PCR: polymerase chain reaction; EM: electron microscopy; PAS: periodic acid-Schiff.
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