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Gaze-induced Desçemet's folds secondary to a primary pterygium
Renée Solomon1, Michael Ehrenhaus, Carrie Palmer
1Ophthalmic Consultants of Long Island, Rockville Centre, NY 11570, USA.
Purpose:
To report a case of gaze-induced Desçemet's folds secondary to a primary pterygium.
Methods:
Interventional case report, chart review, and literature review.
Results:
Slitlamp examination of a 49-year-old man showed Desçemet's folds in the left eye on extreme right gaze secondary to the restrictive effect of a primary pterygium. The folds correlated with increasing astigmatism documented on corneal topography and restricted ocular motility and diplopia on attempted adduction.
Conclusions:
To the authors' knowledge, this is the first reported case of folds induced in Desçemet's membrane secondary to the tethering effect of a primary pterygium.
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