Idiopathic superior keratectasia with spontaneous perforation treated with amniotic membrane transplantation.
OBJECTIVE
To demonstrate an unusual case of bilateral superior keratectasia complicated by a corneal perforation.


METHODS
Case report of idiopathic superior keratectasia with a spontaneous perforation managed by amniotic membrane transplantation.


RESULTS
Superior keratectasia was confirmed by a pattern of superior corneal steepening seen on corneal topography and keratometry in the fellow eye.


CONCLUSIONS
Although rare, keratectasia with hydrops and a corneal perforation may present superiorly, and an amniotic membrane should be considered for management.
Lazzaro
Douglas R
DR
SUNY Downstate Medical Center, Brooklyn, NY 11203, USA. drleyedoc@aol.com
Waring
George O
GO
Liu
Margaret
M
D000328:Adult; D000650:Amnion / Q000637:transplantation*; D001684:Biological Dressings; D015715:Corneal Edema / Q000209:etiology* / Q000601:surgery; D019781:Corneal Topography; D004108:Dilatation, Pathologic / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous; D014792:Visual Acuity