Gaze-induced Desçemet's folds secondary to a primary pterygium.
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.
Solomon
Renée
R
Ophthalmic Consultants of Long Island, Rockville Centre, NY 11570, USA.
Ehrenhaus
Michael
M
Palmer
Carrie
C
Perry
Henry D
HD
Donnenfeld
Eric D
ED
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