Successful conservative management of hydrops with perforation in pellucid marginal degeneration.
METHODS
Hydrops with perforation in the setting of pellucid marginal degeneration is a rare complication that is generally treated surgically. We report the first case of successful nonsurgical management using only a bandage contact lens.


CONCLUSIONS
Hydrops with perforation in one eye is a risk factor for a similar event occurring in the other eye. Initial conservative management with a bandage contact lens should be considered to avoid the risk of surgery. After resolution of hydrops, flattening of the cornea and reduced astigmatism is also a potential benefit.
Forooghian
Farzin
F
Department of Ophthalmology and Vision Sciences, University of Tronto, Tronto, ON. farzin.forooghian@utoronto.ca
Assaad
David
D
Dixon
William S
WS
D000328:Adult; D003261:Contact Lenses; D003315:Cornea / Q000473:pathology*; D003317:Corneal Dystrophies, Hereditary / Q000150:complications / Q000473:pathology / Q000628:therapy*; D015715:Corneal Edema / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D019781:Corneal Topography; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous