Spontaneous corneal melting in pregnancy: a case report.
BACKGROUND
To report a case of spontaneous corneal melting in pregnancy. We reviewed the literature on corneal melting and the effect of pregnancy on cornea and collagen containing tissues.


METHODS
A 29-year-old woman who underwent radial keratotomy in both eyes followed by trabeculectomy in her left eye developed corneal melting in the same eye, in her seventh month of pregnancy. Despite screening, no infectious or immune mediated condition could be identified. She was managed conservatively with cyanoacrylate glue, bandage contact lens, lubricants and antibiotics.


CONCLUSIONS
It may not always be possible to find the underlying cause of corneal melting but the more common underlying causes should be ruled out by proper investigations. Pregnancy with its host of hormonal changes could potentially have some effect on corneal collagen leading to corneal melting in compromised corneas.
Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India. drarchanag2002@yahoo.com.
Sudesh K
SK
Arya
Archana
A
Malik
Sonika
S
Gupta
Hemlata
H
Gupta
Sunandan
S
Sood