In a majority, it occurs bilaterally however unilateral cases have also been reported. This condition is more common in men in the fourth or fifth decades of life. Pellucid marginal degeneration (PMD) is a rare, progressive, non-inflammatory ectatic disorder of the cornea. Indian J Ophthalmol Case Rep 2022 2:882-5. An unusual case of sequential corneal perforation in pellucid marginal degeneration: A case report.
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How to cite this URL: Kodavoor SK, Patekar KB, Dandapani R. Indian J Ophthalmol Case Rep 2022 2:882-5 How to cite this article: Kodavoor SK, Patekar KB, Dandapani R. Keywords: Corneal collagen crosslinking, corneal perforation, pellucid marginal degeneration Temporal phacoemulsification with toric IOL implantation was done in both eyes, following which the left eye developed spontaneous perforation after a period of two months which was also managed with primary suturing and compression sutures. Over a period of four years of follow-up, the patient developed progressive diminution of vision in both eyes and was diagnosed with cataract. The other eye was absolutely normal with normal topographic findings.
We report a case of spontaneous corneal perforation in a 64-year-old male patient with PMD having normal corneal thickness in the right eye which was managed with primary suturing and compression sutures.
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Hence, the importance of repeated follow-up, clinical examination along with serial corneal topography even in the seventh and eighth decades of life is of utmost importance in PMD. Poor best-corrected visual acuity at presentation of 0.2 (20/100) or worse and long follow-up (8 years or more) were significantly associated with surgery.Spontaneous and sequential corneal perforation is rare in pellucid marginal degeneration (PMD) in the seventh decade of life. Nonsurgical management of PMCD continues to play a predominant role in the management of this disorder. Clear grafts were present in all 10 eyes at the end of the study (average, 9 years SD, +/-82). Ten eyes (11.8%) underwent penetrating keratoplasty with an average postoperative follow-up of 9 years (SD, +/-8.2 1.5-20.5). Visual acuity of 0.5 (20/40) or better was noted in 34 eyes (75.5%) after contact lens fit. Contact lens management was initially attempted in 51 eyes (60%) however, 7 eyes failed contact lenses. Seventy-five eyes (88.2%) were managed nonsurgically with spectacles in 31 eyes (36.4%) or contact lenses in 44 eyes (51.8%). They were followed-up for an average of 4.7 years (standard deviation (SD), +/-8.7). Forty-five patients (85 eyes 30 males, 15 females) with PMCD were included in this study. Information collected from the medical records included demographic data, best-corrected visual acuity, videokeratography, contact lens use, and surgical procedures. A retrospective chart review of 45 patients with PMCD from a corneal referral practice was performed.
This study was designed to determine how patients with pellucid marginal corneal degeneration (PMCD) are managed in a tertiary corneal practice.
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