title: Gaze-induced Desçemet's folds secondary to a primary pterygium.
abstract: OBJECTIVE
  To report a case of gaze-induced Desçemet's folds secondary to a primary pterygium.
  
  
  METHODS
  Interventional case report, chart review, and literature review.
  
  
  RESULTS
  Slitlamp examination of a 49-year-old man showed Desçemet's folds in the left eye on extreme right gaze secondary to the restrictive effect of a primary pterygium. The folds correlated with increasing astigmatism documented on corneal topography and restricted ocular motility and diplopia on attempted adduction.
  
  
  CONCLUSIONS
  To the authors' knowledge, this is the first reported case of folds induced in Desçemet's membrane secondary to the tethering effect of a primary pterygium.
authors.affiliation: Ophthalmic Consultants of Long Island, Rockville Centre, NY 11570, USA.
authors.forename: Renée
authors.initials: R
authors.lastname: Solomon
authors.forename: Michael
authors.initials: M
authors.lastname: Ehrenhaus
authors.forename: Carrie
authors.initials: C
authors.lastname: Palmer
authors.forename: Henry D
authors.initials: HD
authors.lastname: Perry
authors.forename: Eric D
authors.initials: ED
authors.lastname: Donnenfeld
mesh_terms: D001251:Astigmatism / Q000209:etiology* / Q000473:pathology; D019781:Corneal Topography; D003886:Descemet Membrane / Q000473:pathology*; D004172:Diplopia / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011625:Pterygium / Q000150:complications* / Q000473:pathology / Q000601:surgery; D014792:Visual Acuity