title: Fuchs' superficial marginal keratitis managed with circumferential marginal corneoscleral lamellar patch graft.
abstract: OBJECTIVE
  To report a case of Fuchs' superficial marginal keratitis managed with circumferential marginal corneoscleral lamellar patch graft.
  
  
  METHODS
  Interventional case report.
  
  
  RESULTS
  A 34-year-old man presented with several years' history of ill-defined symptoms of binocular ocular irritation associated with vision loss, mostly in the left eye. A superior marginal corneal thinning was found at biomicroscopy of the left eye, with 2 finely vascularized descemetoceles, and a gray epithelial demarcation line without lipid infiltrates. The right eye was clinically normal. Anterior segment optical coherence tomography demonstrated an important corneal thinning from the 7 o'clock to 3 o'clock positions, without scleral involvement. A circumferential marginal corneoscleral lamellar patch graft was done involving 3 mm of sclera and 3 mm of cornea.
  
  
  CONCLUSIONS
  Fuchs' superficial marginal keratitis is a rare entity, mostly affecting young adults. It should be considered part of a spectrum of corneal thinning disorders, together with Terrien's marginal degeneration. Definitive treatment with a marginal corneoscleral lamellar patch graft with or without conjunctival autograft is suggested.
authors.affiliation: Cornea Service, Ophthalmology Department, CES University, Medellin - Colombia. lfmejia@lfmejia.com
authors.forename: Luis F
authors.initials: LF
authors.lastname: Mejía
authors.forename: Juan P
authors.initials: JP
authors.lastname: Santamaría
authors.forename: Ana M
authors.initials: AM
authors.lastname: Gaviria
authors.forename: Ana M
authors.initials: AM
authors.lastname: Rodríguez
mesh_terms: D000328:Adult; D003317:Corneal Dystrophies, Hereditary / Q000601:surgery*; D016039:Corneal Transplantation; D006801:Humans; D007634:Keratitis / Q000601:surgery*; D008297:Male; D012590:Sclera / Q000637:transplantation*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity