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.

ReportAgeGenderLocation of depositsDiagnosisSystemic findings at presentation

Current case49MaleCorneal endotheliumHeart valve and lymph node BxArthralgias
Thaler et al. [9]56MaleAnterior chamberVitreous and duodenal PCR, duodenal BxArthralgias
Williams et al. [18]62MaleIntraocular lens, capsular bag, irisVitreous and lens capsule biopsy and PCRArthritis
Fevers
Lim et al. [14]23MalePreretinal or inner retinalVitreous PCR, jejunal BxAnemia, lymphadenopathy, diarrhea, malnutrition
Rickman et al. [20]59FemaleCorneal endotheliumVitreous biopsy, EM, PCRArthritis
Avila et al. [22]33FemaleSubretinalSmall bowel biopsy showing PAS positive granules, EMFever, anorexia, diarrhea, weight loss

Bx: biopsy; PCR: polymerase chain reaction; EM: electron microscopy; PAS: periodic acid-Schiff.