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Central corneal delle as a complication of erythema multiforme major
Chun-Chi Chiang1, Jane-Ming Lin, Yi-Yu Tsai
1Department of Ophthalmology, China Medical University Hospital, Taichung, Taiwan.
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.
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