Open AccessCorneal perforation during scleral indentation in a patient with pellucid marginal degeneration
Author(s) -
Karl Mercieca,
Aruna Dharmasena,
Charles Hopley
Publication year - 2016
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.181750
Subject(s) - medicine , perforation , ophthalmology , indentation , ophthalmoscopy , degeneration (medical) , keratoconus , sclera , surgery , cornea , retinal , materials science , punching , composite material , metallurgy
An observational case report of corneal perforation following scleral indentation in a patient with previously undiagnosed pellucid marginal degeneration is presented. Clinical examination, investigations, and subsequent management of this unwarranted and rare complication are described and discussed. The case highlights the need for thorough anterior segment examination before indirect ophthalmoscopy particularly in the presence of ectatic corneal pathology in which case scleral indentation should be avoided.