EyeNet Magazine

Corneal Ectasia and Protrusion
Written by Joshua D. Stein, MD, MS, Natalie A. Afshari, MD, Michael P. Kelly,
CPT, and Jeanne Lee, CPT, Duke University Eye Center, Durham, N.C.

Edited by Richard E. Hackel, MA, CRA, FOPS.
june 2007 blink

A 20-year-old woman with a history of keratoconus and a corneal graft in her left eye initially presented with a corneal ulcer within her graft six months after transplantation. The infection resolved with a course of fortified antibiotics. Subsequently, the patient developed a corneal ectasia and corneal protrusion as seen in this photograph taken from an angle below the eye. At the time of this photograph, the patient’s vision had decreased to light perception. Finally, the patient underwent a repeat corneal transplant with an amniotic membrane graft. The patient continued to experience poor vision due to the presence of a dense cataract along with damage to her optic nerve from glaucoma.


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