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Cornea. 2013 Jul;32(7):1058-62. doi: 10.1097/ICO.0b013e31828f0e1e.

Direct surgical repair of corneal perforation in pellucid marginal degeneration: a case series.

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  • 1Royal Victorian Eye and Ear Hospital, Melbourne, Australia.



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.


Retrospective case series of corneal perforation repairs in the setting of PMD.


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.


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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