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. 2022 Dec 22;24(1):209. doi: 10.3390/ijms24010209

Table A1.

The differential diagnosis of posterior polymorphous corneal dystrophy and iridocorneal endothelial syndrome.

PPCD ICE Syndrome
Etiology PPCD1: VSX1
PPCD2: COL8A2
PPCD3: ZEB1
Unknown
Probable viral etiology
Inheritance Autosomal dominant Sporadic
Presentation More frequently bilateral More frequently unilateral
Onset Early childhood Adulthood
Signs Cornea Endothelial lesions
  • Vesicular

  • Banded

  • Diffuse

“Beaten metal” appearance
Chandler: early marked edema
APS: possible edema
Cogan-Reese: possible edema
Anterior chamber Peripheral iridocorneal adhesions in 25% Peripheral anterior synechiae
Iris Atrophy Chandler: iris atrophy
PIA: Full thickness holes
Cogan-Reese: nodules + atrophy
Pupil Corectopia Chandler: corectopia
PIA: polycoria
Cogan-Reese: uncommon changes
Cytokeratins CK7
CK19
34BE12
Pkk1
KL1
CK19

Abbreviations: APS, antiphospholipid syndrome; PIA, progressive iris atrophy; ICE, iridocorneal endothelial syndrome; PPCD, posterior polymorphous corneal dystrophy.