PURPOSE: To review corneal perforation cases in pellucid marginal degeneration and report a case of bilateral spontaneous perforation at presentation in rigid gas permeable contact lens wear and pellucid marginal degeneration. METHODS: Case report and literature review. RESULTS: The presentation, clinical course, surgical intervention, pathologic analysis, and postoperative outcome of a case of bilateral spontaneous corneal perforation in pellucid marginal degeneration are detailed. All spontaneous corneal perforation cases associated with pellucid marginal degeneration are reviewed. CONCLUSIONS: Pellucid marginal degeneration can lead to spontaneous corneal perforation resulting in the need for urgent therapeutic intervention. A potential for severe ocular morbidity should be considered in all patients with this disorder despite a seemingly stable disease and appropriate gas permeable contact lens wear. Unilateral perforation cases should be watched closely for development of complications in the fellow eye.
PURPOSE: To review corneal perforation cases in pellucid marginal degeneration and report a case of bilateral spontaneous perforation at presentation in rigid gas permeable contact lens wear and pellucid marginal degeneration. METHODS: Case report and literature review. RESULTS: The presentation, clinical course, surgical intervention, pathologic analysis, and postoperative outcome of a case of bilateral spontaneous corneal perforation in pellucid marginal degeneration are detailed. All spontaneous corneal perforation cases associated with pellucid marginal degeneration are reviewed. CONCLUSIONS:Pellucid marginal degeneration can lead to spontaneous corneal perforation resulting in the need for urgent therapeutic intervention. A potential for severe ocular morbidity should be considered in all patients with this disorder despite a seemingly stable disease and appropriate gas permeable contact lens wear. Unilateral perforation cases should be watched closely for development of complications in the fellow eye.
Authors: Anthony J Aldave; Michele Mabon; David A Hollander; Stephen D McLeod; William H Spencer; Richard L Abbott Journal: Cornea Date: 2003-03 Impact factor: 2.651
Authors: Mohammad A Javadi; Farid Karimian; Ahmad Hosseinzadeh; Hafez M Noroozizadeh; Mohammad R Sa'eedifar; Hossein M Rabie Journal: J Refract Surg Date: 2004 Mar-Apr Impact factor: 3.573