title: Unilateral Spontaneous Descemet Membrane Rupture in a Case With Megalophthalmos.
abstract: OBJECTIVE
  To report a case of unilateral spontaneous descemet membrane rupture associated with megalophthalmos.
  
  
  METHODS
  A case report of a 23-year-old woman with blurred vision of the right eye for 6 months due to spontaneous descemet membrane rupture associated with megalophthalmos is described. Slit-lamp examination demonstrated corneal edema and suggestion of a descemet membrane rupture in the right eye.
  
  
  RESULTS
  Anterior segment optical coherence tomography verified the presence of a ruptured descemet membrane separated from the nasal posterior cornea along with corneal edema and intraepithelial cystic lesions. With A-scan ultrasonography, axial lengths were 32 and 28 mm in OD and OS, respectively. Indirect gonioscopy demonstrated a wide iridocorneal angle and a ciliary body band, bilaterally. Corneal pachymetry measurements were performed with Pentacam HR Scheimpflug topography which measured the central corneal thickness 360 μ in OD and 300 μ in OS.
  
  
  CONCLUSIONS
  Megalophthalmos and spontaneous descemet membrane rupture are rare conditions. To the best literature knowledge, this is the first report of descemet membrane rupture in megalophthalmos.
authors.affiliation: Department of Ophthalmology (E.G., Y.T., A.T.), Medical School, Turgut Özal University, Ankara, Turkey; and Department of Ophthalmology (I.F.H.), Medical School, Gazi University, Ankara, Turkey.
authors.forename: Emre
authors.initials: E
authors.lastname: Güler
authors.forename: Yüksel
authors.initials: Y
authors.lastname: Totan
authors.forename: İbrahim F
authors.initials: İF
authors.lastname: Hepşen
authors.forename: Aylin
authors.initials: A
authors.lastname: Tenlik
mesh_terms: D003316:Corneal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D063171:Corneal Pachymetry; D003886:Descemet Membrane / Q000000981:diagnostic imaging*; D005124:Eye Abnormalities / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D005260:Female; D006801:Humans; D012422:Rupture, Spontaneous; D041623:Tomography, Optical Coherence; D014463:Ultrasonography; D014792:Visual Acuity; D055815:Young Adult