CYSTIC HYDROPS AND SPONTANEOUS PERFORATION IN FUCHS SUPERFICIAL MARGINAL KERATITIS

PURPOSE: We studied a case of Fuchs' superficial marginal keratitis in which cystic corneal hydrops developed in one eye, and spontaneous co rneal perforation occurred in the fellow eye. METHODS: The patient und erwent bilateral annular corneoscleral lamellar patch grafts for tecto nic support. RESULTS: The patient had an uncomplicated post operative course and visual acuity of 20/25 bilaterally. CONCLUSION: Stromal los s in Fuchs' superficial marginal keratitis may be severe enough to res ult in cystic corneal hydrops. Patients with this disorder should be c ounseled regarding the possibility of corneal perforation.