Successful conservative management of hydrops with perforation in pellucid marginal degeneration

Hydrops with perforation in the setting of pellucid marginal degeneration is a rare complication that is generally treated surgically. We report the first case of successful nonsurgical management using only a bandage contact lens.

Hydrops with perforation in one eye is a risk factor for a similar event occurring in the other eye. Initial conservative management with a bandage contact lens should be considered to avoid the risk of surgery. After resolution of hydrops, flattening of the cornea and reduced astigmatism is also a potential benefit.