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Published on: September 12, 2014
Idiopathic superior keratectasia with spontaneous perforation treated with amniotic membrane transplantation
Douglas R Lazzaro1, George O Waring, Margaret Liu
1SUNY Downstate Medical Center, Brooklyn, NY 11203, USA. drleyedoc@aol.com
Purpose:
To demonstrate an unusual case of bilateral superior keratectasia complicated by a corneal perforation.
Methods:
Case report of idiopathic superior keratectasia with a spontaneous perforation managed by amniotic membrane transplantation.
Results:
Superior keratectasia was confirmed by a pattern of superior corneal steepening seen on corneal topography and keratometry in the fellow eye.
Conclusions:
Although rare, keratectasia with hydrops and a corneal perforation may present superiorly, and an amniotic membrane should be considered for management.
