Tuesday, February 12, 2008

Pellucid marginal degeneration

  • bilateral asymmetric focal ectasia of the corneal stroma 1-2mm above the inferior limbus b/w 5 & 7 o'clock w/o evidence of scarring, vascularization or lipid infiltration
  • progressive ectasia results in the development of ATR astigmatism
  • can lead to corneal hydrops
  • advanced cases show "kissing doves" or "crab claw" topography with superior flattening and a small island of inferior central flattening

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