Cornea verticillata

Cornea verticillata, also called vortex keratopathy or whorl keratopathy, is a condition characterised by corneal deposits at the level of the basal epithelium forming a faint golden-brown whorl pattern.^[2] It is seen in Fabry disease or in case of prolonged amiodarone intake.^[3] Furthermore, it is a common adverse side effect of the use of rho-kinase inhibitors in glaucoma therapy.^[4]

Cornea verticillata
Other names	Fleischer vortex[1]
Cornea verticillata: A bilateral, whorl-like corneal pattern of cream colored lines in a patient with Fabry disease.
Specialty	Ophthalmology
Treatment	Discontinuation of the offending drug results in complete resolution of the opacity.

Presentation

No ocular complaints or visual difficulty is usually present.^[3][5]

Pathophysiology

This keratopathy is probably a type of drug-induced lipidosis.^[3]

Diagnosis