RT Journal Article T1 Corneal Fleck dystrophy in a Spanish family. A1 Rocha-de-Lossada, Carlos A1 Alba-Linero, Carmen A1 Hernando-Ayala, Carlos A1 Rodriguez-Calvo-de-Mora, Marina K1 Glycosaminoglycans K1 Pathogenesis, Homeopathic K1 Corneal Stroma AB Corneal fleck dystrophy is an unusual, asymptomatic, autosomal dominant condition. In the pathogenesis, it is hypothesized that a hydrolytic enzyme deficiency of keratocytes is involved, leading to accumulation of mucopolysaccharides and intracellular lipids. We present an asymptomatic family, mother and daughter, who showed small, bilateral, translucent flecks, scattered throughout the whole corneal stroma without a defined pattern. Due to the suspicion of a mottled dystrophy, they were referred to the Genetics department and were finally diagnosed with the PIKFYVE gene in heterozygosis, confirming the diagnosis [Fig. 1]. To our knowledge, this is the first Spanish family with corneal fleck dystrophy reported in the literature. PB Wolters Kluwer - Medknow Publications and Media YR 2020 FD 2020 LK http://hdl.handle.net/10668/15405 UL http://hdl.handle.net/10668/15405 LA en NO Rocha-de-Lossada C, Alba-Linero C, Hernando Ayala C, Rodriguez-Calvo-de-Mora M. Corneal Fleck dystrophy in a Spanish family. Indian J Ophthalmol. 2020 May;68(5):918 DS RISalud RD Apr 8, 2025