A patient on amiodarone is diagnosed to have cornea veicillate. What should be management-
**Core Concept**
The patient's condition, cornea verticillata, is a rare side effect of amiodarone, an antiarrhythmic medication. This condition is characterized by the deposition of lipofuscin-like material in the corneal epithelium, leading to a whorl-like pattern of vision disturbances.
**Why the Correct Answer is Right**
Amiodarone-induced cornea verticillata occurs due to the lipophilic nature of the medication, which allows it to accumulate in the corneal epithelium. The deposition of this material disrupts the normal corneal structure and function, leading to symptoms such as blurred vision, photophobia, and eye pain. In some cases, this condition may be reversible upon discontinuation of the medication.
**Why Each Wrong Option is Incorrect**
**Option A:** Discontinuation of amiodarone without addressing the underlying condition may not alleviate symptoms, and in some cases, may even worsen the condition.
**Option B:** Topical corticosteroids may exacerbate the condition, as they can increase the deposition of lipofuscin-like material in the corneal epithelium.
**Option C:** The use of contact lenses may not be recommended in this case, as the lenses can trap the deposited material, leading to further vision disturbances.
**Clinical Pearl / High-Yield Fact**
Amiodarone-induced cornea verticillata is a rare but potentially reversible side effect of the medication. Discontinuation of amiodarone is often the most effective management strategy, and patients should be closely monitored for any changes in vision or eye symptoms.
**Correct Answer:** D. Discontinuation of amiodarone is the most effective management strategy for cornea verticillata.