Management of pellucid marginal degeneration with intracorneal ring segments.
OBJECTIVE
To present intracorneal ring segments for potential management of pellucid marginal degeneration.


METHODS
A 41-year-old man with pellucid marginal degeneration with poor visual acuity due to irregular astigmatism was treated with Intacs microthin insert (KeraVision, Fremont, Calif) in the left eye.


RESULTS
Uncorrected visual acuity improved from 2/60 to 6/60 following the procedure. The procedure completely eliminated myopia of -8.00 diopters and improved the irregularity of the astigmatism, although it did not change its magnitude.


CONCLUSIONS
Insertion of the intracorneal ring segment improves visual acuity in pellucid marginal degeneration by flattening the central corneal protrusion, thus reducing myopia and improving the astigmatism irregularity.
Barbara
Adel
A
Hadassa Optimal, Israel.
Shehadeh-Masha'our
Raneen
R
Zvi
Friedman
F
Garzozi
Hanna J
HJ
D000328:Adult; D001251:Astigmatism / Q000503:physiopathology / Q000601:surgery; D001672:Biocompatible Materials; D003317:Corneal Dystrophies, Hereditary / Q000503:physiopathology / Q000601:surgery*; D003319:Corneal Stroma / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D009216:Myopia / Q000503:physiopathology / Q000601:surgery; D019904:Polymethyl Methacrylate; D019736:Prostheses and Implants; D019919:Prosthesis Implantation; D014792:Visual Acuity / Q000502:physiology
D001672:Biocompatible Materials; D019904:Polymethyl Methacrylate