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Pellucid marginal degeneration: postponing penetrating keratoplasty for over a decade

Degeneração marginal pelúcida: postergando o transplante de córnea em mais de uma década

Abstract

Pellucid marginal degeneration (PMD) treatment can be challenging in moderate to advanced cases and penetrating keratoplasty should be avoided due to high risk of complications, such as graft rejection. We report a case of a 30-year-old female patient with PMD that was referred to our service with bilateral low visual acuity, worse in her right eye and contact lenses intolerance. We performed a corneal crescentic lamellar wedge resection that resulted in good useful vision and postponed the keratoplasty for eighteen years.

Keywords:
Cornea; Corneal topography; Corneal diseases; Corneal surgery, Ectasia; Corneal transplantation; Visual acuity; Case reports

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