Fuchs' Superficial Marginal Keratitis Managed with Circumferential Marginal Corneoscleral Lamellar Patch Graft. Issue 6 (November 2013)

• Record Type: Journal Article
• Authors: Mejía, Luis F.; Santamaría, Juan P.; Gaviria, Ana M.; Rodríguez, Ana M.
• Is Part Of: European journal of ophthalmology. Volume 23:Issue 6(2013)
• Page Start: 925
• Page End: 927
• Publication Date: 2013-11
• Subjects: Corneoscleral patch graft -- Descemetocele -- Fuchs' -- Terrien's; Ophthalmology -- Periodicals; Eye -- Diseases -- Periodicals; 617.7005
• DOI: 10.5301/ejo.5000356
• Languages: English
• ISSNs: 1120-6721

Abstract

Purpose: 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 .