Central corneal delle as a complication of erythema multiforme major.

PURPOSE: To report a case of erythema multiforme major complicated by a central corneal delle.

METHODS

Case report.

RESULTS

An 18-year-old man recovering from erythema multiforme major complained of blurred vision and grittiness. Slit-lamp examination revealed a central corneal depression; the overlying epithelium was intact, and the stroma was thinned but lacked inflammation. The patient underwent 2 months of treatment with lubrication and autologous serum. The thinning corneal stroma thickened, and the corneal curvature returned to normal without any further complications such as corneal perforation.

CONCLUSIONS

Erythema multiforme major caused upper tarsus deformity and dry eye, which resulted in localized corneal dehydration and a central corneal delle.