Abstract
SUMMARY Star-like folds of Descemet's membrane have been described in association with a phthisical eye and also as a sign of impending perforation. We describe three cases where this change was found in association with deep stromal infiltrates, two of which arose in Herpes zoster ophthalmicus and one in Haemophilus influenza. The intra ocular pressure was normal at the time the folds developed and there was no perforation. We believe the folds are related to cicatricial changes at the level of Descemet's membrane.
Highlights
Descemet' s membrane is composed of bundles of collagen which have elastic properties that are ob served by their tendency to retract and curl after rupture
Descemet's folds have been described in stromal ke ratitis, ocular hypotony or trauma I
We describe three cases of ra diating or star-l ike folds of Desce met ' s membrane associated with deep stromal keratitis associated with her pes zoster ophthalmicus and a bacterial keratitis caused by Haemophilus sp
Summary
Star-Iike folds ofDescemet's membrane have been described in association with a phthisical eye and as a sign of impending perforation. We describe three cases where this change was found in association with deep stromal infiltrates, two of which arose in Herpes zoster ophthalmicus and one in Haemophilus influenza. The intraocular pressure was normal at the time the folds developed and there was no perforation. We believe the folds are related to cicatricial changes at the levei of Descemet's membrane. Proctor Foundation Universidade da California, San Francisco. (I) Departamento de Oftalmologia Escola Paulista de Medicina, São Paulo, SP (2) Francis r. Proctor Foundation University ofCalifomia, San Francisco, CA. D. Moorfields Eye Hospital, City Road, London, EClV2PD, UK
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