Purpose. Pellucid marginal degeneration is a noninflammatory thinning
disorder typically involving the inferior cornea. We describe a patien
t with superior corneal thinning similar to classic pellucid marginal
degeneration. Methods, An 80-year-old man was evaluated for high astig
matism. Results, The right superior cornea had a prominent band of thi
nning with ectasia. Both inferior corneas had characteristic zones of
thinning without inflammation. Conclusions, Superior pellucid marginal
corneal degeneration should be considered in the differential diagnos
is of superior corneal ectatic disorders.