title: Direct surgical repair of corneal perforation in pellucid marginal degeneration: a case series.
abstract: OBJECTIVE
  To report a novel technique for repairing corneal perforations in 5 eyes of 3 patients with pellucid marginal degeneration (PMD). Four cases were successfully repaired with corneal sutures and 1 case required a penetrating keratoplasty.
  
  
  METHODS
  Retrospective case series of corneal perforation repairs in the setting of PMD.
  
  
  RESULTS
  Four perforations were managed successfully with primary closure resulting in acceptable best spectacle-corrected visual acuity and stable corneal topography. One corneal perforation required a penetrating keratoplasty after unsuccessful suture repair.
  
  
  CONCLUSIONS
  Primary repair of corneal perforations in cases of PMD can be achieved with corneal suturing alone. This technique may achieve a satisfactory visual and topographic outcome with minimal complications.
authors: Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
authors: Elsie
authors: E
authors: Chan
authors: Grant R
authors: GR
authors: Snibson
authors: Alexander
authors: A
authors: Poon
mesh_terms: D000328:Adult; D003316:Corneal Diseases / Q000150:complications / Q000601:surgery*; D057112:Corneal Perforation / Q000209:etiology / Q000601:surgery*; D019781:Corneal Topography; D004108:Dilatation, Pathologic / Q000601:surgery; D005260:Female; D006801:Humans; D015948:Keratoplasty, Penetrating; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques; D055675:Viscosupplements / Q000008:administration & dosage; D014792:Visual Acuity / Q000502:physiology
chemical_list: D055675:Viscosupplements