Central corneal delle as a complication of erythema multiforme major.
OBJECTIVE
To report a case of erythema multiforme major complicated by a central corneal delle.


METHODS
Case report.


RESULTS
An 18-year-old man recovering from erythema multiforme major complained of blurred vision and grittiness. Slit-lamp examination revealed a central corneal depression; the overlying epithelium was intact, and the stroma was thinned but lacked inflammation. The patient underwent 2 months of treatment with lubrication and autologous serum. The thinning corneal stroma thickened, and the corneal curvature returned to normal without any further complications such as corneal perforation.


CONCLUSIONS
Erythema multiforme major caused upper tarsus deformity and dry eye, which resulted in localized corneal dehydration and a central corneal delle.
Chiang
Chun-Chi
CC
Department of Ophthalmology, China Medical University Hospital, Taichung, Taiwan.
Lin
Jane-Ming
JM
Tsai
Yi-Yu
YY
D000293:Adolescent; D003316:Corneal Diseases / Q000188:drug therapy / Q000209:etiology*; D015352:Dry Eye Syndromes / Q000188:drug therapy / Q000209:etiology; D004892:Erythema Multiforme / Q000150:complications*; D005141:Eyelid Diseases / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D065347:Hypromellose Derivatives; D008297:Male; D008747:Methylcellulose / Q000008:administration & dosage / Q000031:analogs & derivatives; D009883:Ophthalmic Solutions / Q000008:administration & dosage
D009883:Ophthalmic Solutions; D065347:Hypromellose Derivatives; D008747:Methylcellulose