Cystic hydrops and spontaneous perforation in Fuchs' superficial marginal keratitis.
OBJECTIVE
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.


CONCLUSIONS
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.
Goldberg
M A
MA
Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO 63110, USA.
Lubniewski
A J
AJ
Williams
J M
JM
Smith
M E
ME
Pepose
J S
JS
D000328:Adult; D003316:Corneal Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D015715:Corneal Edema / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D016039:Corneal Transplantation; D003560:Cysts / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007634:Keratitis / Q000150:complications* / Q000601:surgery; D014792:Visual Acuity