Pellucid marginal degeneration: postponing penetrating keratoplasty for over a decade

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Intacs for early pellucid marginal degeneration.

A 42-year-old man had Intacs (Addition Technology Inc.) implantation for early pellucid marginal degeneration (PMD). Two Intacs segments (0.45 mm thickness) were inserted uneventfully in the fashion typically used for low myopia correction (nasal-temporal). Eleven months after the procedure, the uncorrected visual acuity was 20/200, compared with counting fingers preoperatively, while the best ...

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collagen cross - linking for Pellucid Marginal degeneration

Pellucid marginal degeneration (PMD) is a rare progressive condition resulting in inferior corneal thinning and astigmatism. Alongside keratoconus and keratoglobus, it is considered one of noninflammatory corneal ectasias. The focus of corneal thinning is greatest inferiorly resulting in diminished visual acuity and overall reduction in visual quality. Traditional methods of treatment or diseas...

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Combined wedge resection and beveled penetrating relaxing incisions for the treatment of pellucid marginal corneal degeneration.

PURPOSE To evaluate a new surgical approach for the treatment of pellucid marginal corneal degeneration (PMCD). METHODS Prospective, noncomparative, interventional case series. Ten eyes of 10 consecutive patients were included in the series. Inclusion criteria were a clinical diagnosis of PMCD, topographic astigmatism >10 D, and contact lens intolerance. The patients underwent an inferior arc...

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Surgical treatment of advanced pellucid marginal degeneration.

PURPOSE To determine the efficacy of simultaneous peripheral crescentic lamellar keratoplasty (LK) and central penetrating keratoplasty (PK) for advanced pellucid marginal degeneration (PMD). DESIGN Retrospective, noncomparative, interventional case series. PARTICIPANTS Five patients with advanced PMD. METHOD Simultaneous peripheral crescentic LK and central PK followed by selective sutur...

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ژورنال

عنوان ژورنال: Revista Brasileira de Oftalmologia

سال: 2018

ISSN: 0034-7280

DOI: 10.5935/0034-7280.20180019