title: Idiopathic superior keratectasia with spontaneous perforation treated with amniotic membrane transplantation.
abstract: 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.
authors.affiliation: SUNY Downstate Medical Center, Brooklyn, NY 11203, USA. drleyedoc@aol.com
authors.forename: Douglas R
authors.initials: DR
authors.lastname: Lazzaro
authors.forename: George O
authors.initials: GO
authors.lastname: Waring
authors.forename: Margaret
authors.initials: M
authors.lastname: Liu
mesh_terms: 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