Pellucid Marginal Corneal Degeneration
- PMID: 32965985
- Bookshelf ID: NBK562314
Pellucid Marginal Corneal Degeneration
Excerpt
Pellucid marginal corneal degeneration (PMCD) is a bilateral, noninflammatory, peripheral corneal thinning disease. It is characterized by a peripheral crescentic band of thinning, usually in the inferior cornea. The ectatic zone, which is 1-2 mm from the limbus, lies above the point of the maximum corneal thinning. The term pellucid marginal degeneration was coined first by Schalaeppi in 1957 as "la dystrophie marginale inferieure pellucide de la cornee". "Pellucid," meaning clear, signifies the clarity of the cornea despite the presence of ectasia.
The condition is more common in males in their 2nd to 5th decades of life. It is very important to rule out any thinning and ectatic disorders like keratoconus and PMCD before refractive surgery as upon being missed, they can lead to unwanted complications post-operatively.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Histopathology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Postoperative and Rehabilitation Care
- Deterrence and Patient Education
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Krachmer JH. Pellucid marginal corneal degeneration. Arch Ophthalmol. 1978 Jul;96(7):1217-21. - PubMed
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- Rodriguez-Prats J, Galal A, Garcia-Lledo M, De La Hoz F, Alió JL. Intracorneal rings for the correction of pellucid marginal degeneration. J Cataract Refract Surg. 2003 Jul;29(7):1421-4. - PubMed
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- Kompella VB, Aasuri MK, Rao GN. Management of pellucid marginal corneal degeneration with rigid gas permeable contact lenses. CLAO J. 2002 Jul;28(3):140-5. - PubMed
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- Horodeński J. [Pellucid marginal corneal degeneration (author's transl)]. Klin Oczna. 1978 Apr;48(4):167-8. - PubMed
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