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Cystic hydrops and spontaneous perforation in Fuchs' superficial marginal keratitis
M A Goldberg1, A J Lubniewski, J M Williams
1Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO 63110, USA.
Purpose:
We studied a case of Fuchs' superficial marginal keratitis in which cystic corneal hydrops developed in one eye, and spontaneous corneal perforation occurred in the fellow eye.
Methods:
The patient underwent bilateral annular corneoscleral lamellar patch grafts for tectonic support.
Results:
The patient had an uncomplicated postoperative course and visual acuity of 20/25 bilaterally.
Conclusion:
Stromal loss in Fuchs' superficial marginal keratitis may be severe enough to result in cystic corneal hydrops. Patients with this disorder should be counseled regarding the possibility of corneal perforation.
