Corneal Hydrops in Pellucid Marginal Degeneration: A Case Series.

PURPOSE: To report an unusual presentation of pellucid marginal degeneration (PMD) and its management by using air injection and tension sutures.

CASE REPORT: We report 2 cases with a history of acute pain and loss of vision. Examination revealed hydrops at the 6-9 o'clock meridian with Descemet's membrane detachment and tear at the same area and advanced PMD in the other eye.

DISCUSSION: Air injection with suturing to treat the hydrops in PMD and crescentic excision with lamellar grafting instead of lamellar keratoplasty lead to better results than conservative management.

CONCLUSION

Corneal hydrops and perforation in patients with PMD is a rare presentation and can be managed by tension sutures and air injection.