title: Corneal perforation during scleral indentation in a patient with pellucid marginal degeneration.
abstract: An observational case report of corneal perforation following scleral indentation in a patient with previously undiagnosed pellucid marginal degeneration is presented. Clinical examination, investigations, and subsequent management of this unwarranted and rare complication are described and discussed. The case highlights the need for thorough anterior segment examination before indirect ophthalmoscopy particularly in the presence of ectatic corneal pathology in which case scleral indentation should be avoided.
authors.affiliation: Manchester Royal Eye Unit, Manchester Royal Eye Hospital, Manchester, United Kingdom.
authors.forename: Karl
authors.initials: K
authors.lastname: Mercieca
authors.forename: Aruna
authors.initials: A
authors.lastname: Dharmasena
authors.forename: Charles
authors.initials: C
authors.lastname: Hopley
mesh_terms: D000328:Adult; D003315:Cornea / Q000473:pathology*; D003317:Corneal Dystrophies, Hereditary / Q000150:complications* / Q000175:diagnosis; D057112:Corneal Perforation / Q000175:diagnosis / Q000209:etiology*; D019781:Corneal Topography; D005260:Female; D006801:Humans; D012590:Sclera / Q000473:pathology*; D014792:Visual Acuity