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Correspondence to Author: Shiri Harda,Yaser Hely Mohamd, Mo Kusno, Disuke Inue, Masaumi Umasu. 

Dipartimento Salute Mentale e Dipendenze SERT Monza, ASST Brianza (MB), Italy

Abstract:

Our investigation found two individuals with bilateral Fuchs’ superficial marginal keratitis (FSMK) who had surgical treatment and antiinflammatory medicines. The cases included bilateral photophopia, hazy vision, and pseudopterygium with normal intraocular pressure (IOP). Pseudopterygia appeared on the temporal and nasal sides, with a gray border between normal corneal epithelium and no lipid deposits. The The first instance had bilateral high mixed astigmatic error, whereas the second had dry eye symptoms.The laboratory tests revealed no anomalies, including systemic inflammatory illness.In the first instance, mitomycin C (MMC) was used, bilateral pseudopterygium excision was performed, and pedicled transplanting conjunctival flap tissue. The patient was monitored on a regular basis, and her eye findings showed no signs of deterioration or recurrence.Over the course of four years, the second case underwent conjunctival excision, amniotic membrane transplantation, and MMC treatment six times on the right eye and three times on the left, with recurrences after each procedure. Her two eyes’ high IOP significantly reduced her visual acuity. The patient declined more surgery.

Keywords:Fuchs’ superficial marginal keratitis; pseudopteryguim; irregular astigmatism; corneal thinning

Citation:

Dr.Shiri Harda, Diagnosis And Treatment For Bilateral Fuchs Superficial Marginal Keratitis. Journal of Clinical Transplantation 2025.