Dr Pragati Garg et al JMSCR Volume 07 Issue 06 June 2019 Page 860 JMSCR Vol||07||Issue||06||Page 860-863||June 2019 Salzmann’s Nodular Degeneration Right Eye – A Case Report Authors Dr Pragati Garg 1 , Dr Akansha Sharma 2* , Dr Mahrukh Khan 3 1 HOD and Professor, Department of Ophthalmology, Era’s Lucknow Medical College and Hospital, Lucknow, UP, India 2,3 Junior Resident, Department of Ophthalmology, Era’s Lucknow Medical College and Hospital, Lucknow, UP, India Introduction Salzmann’s Nodular Degeneration is a condition where a “callus” like nodule forms on the front surface of the cornea. It is a slowly progressive condition in which gray-white to bluish nodules measuring 1-3 mm are seen anterior to Bowman’s layer of the cornea, usually bilaterally .1,2,3 . These elevated nodules can be located near the limbus or in the mid-peripheral cornea 4 . We report a case of 50 year old male diagnosed with salzmann‘s degeneration right eye. Case Report A 50 years old male reported in ophthalmology OPD of a tertiary care center of North India with a 3-year history of painless, progressive loss of vision in both eyes. The diminution of vision was more in right eye in comparison to the other eye. It was associated with photophobia, itching and foreign body sensation in right eye. The patient was seeking treatment of blepheritis diagnosed elsewhere. He had three updates of his spectacle prescription that had not provided satisfactory vision. There was no diurnal variation in vision. There was no other history of trauma, exposure of toxic materials to the eye, use of contact lenses or any systemic illness. The visual acuity was 5/60 unaided in right eye and 6/24 left eye. On slit lamp examination there were multiple flakes present on the eyelashes of both eyes and right eye revealed waxy secretions over the lid margins. Greyish white nodules were present on the cornea between the corneal epithelium and Bowman’s layer. They were located at the paracentral region extending centrally involving the pupillary area (Fig 1). Rest of the ocular examination including the fundus was within normal limits. The Schirmer’s test was done to rule out dry eye. The values read 28 mm in right eye and 32mm in left eye. All the signs suggestive of exposure keratopathy were ruled out like any lid abnormality, proptosis, lagophthalmos, decreased blink frequency and weakened orbicularis strength which are typical features of Bell’s palsy. The patient was diagnosed with salzmann’s nodular degeneration based on characteristic presentation of nodules on slit lamp examination. There was progressive deterioration of vision and progressive increasing irregular astigmatism. www.jmscr.igmpublication.org Index Copernicus Value: 79.54 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v7i6.144