Direct Surgical Repair of Corneal Perforation in Pellucid Marginal Degeneration: A Case Series

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Purpose:To report a novel technique for repairing corneal perforations in 5 eyes of 3 patients with pellucid marginal degeneration (PMD). Four cases were successfully repaired with corneal sutures and 1 case required a penetrating keratoplasty.Methods:Retrospective case series of corneal perforation repairs in the setting of PMD.Results:Four perforations were managed successfully with primary closure resulting in acceptable best spectacle–corrected visual acuity and stable corneal topography. One corneal perforation required a penetrating keratoplasty after unsuccessful suture repair.Conclusions:Primary repair of corneal perforations in cases of PMD can be achieved with corneal suturing alone. This technique may achieve a satisfactory visual and topographic outcome with minimal complications.

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