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Year : 2023  |  Volume : 3  |  Issue : 2  |  Page : 609

Dimples on the cornea – An ophthalmic image

Brien Holden Institute of Optometry and Vision Sciences, L V Prasad Eye Institute, Hyderabad, Telangana, India

Date of Web Publication28-Apr-2023

Correspondence Address:
Manish Bhagat
Bausch and Lomb Contact Lens Clinic, Kallam Anji Reddy Campus, LV Prasad Eye Institute, Banjara Hills, Hyderabad - 500 034, Telangana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJO.IJO_2784_22

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How to cite this article:
Bhagat M, Ghimire D. Dimples on the cornea – An ophthalmic image. Indian J Ophthalmol Case Rep 2023;3:609

How to cite this URL:
Bhagat M, Ghimire D. Dimples on the cornea – An ophthalmic image. Indian J Ophthalmol Case Rep [serial online] 2023 [cited 2023 Jun 2];3:609. Available from: https://www.ijoreports.in/text.asp?2023/3/2/609/374990

A 25-year-old male with unilateral keratoconus presented to the contact lens clinic for a rigid corneal contact lens trial to improve vision. After 30 min of lens adaptation, slit-lamp biomicroscopy revealed multiple punctate depressions on the corneal surface due to trapped air bubbles under the lens [Figure 1], which is suggestive of dimple veiling.
Figure 1: Dimple veiling. Multiple punctate depressions on the anterior surface of cornea. (a) Under cobalt blue filter with rigid corneal contact lens –10 × magnification. (b) Under cobalt blue + Wratten #12 filter – 16× magnification

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Dimple veiling, also known as corneal depressions,[1] is a semi-hemispheric deformation of the corneal epithelium caused by mechanical compression of trapped air bubbles during contact lens wear.[1] It is managed by reducing the lens central clearance[2] and restricting the air bubble trap from the lens periphery.[2]

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Stillitano I, Maidana E, Lui M, Lipener C, Höfling-Lima AL. Bubble and corneal dimple formation after the first overnight wear of an orthokeratology lens: A case series. Eye Contact Lens 2007;33:253-8.  Back to cited text no. 1
Ng LH. Central corneal epitheliopathy in a long-term, overnight orthokeratology lens wearer: A case report. Optom Vis Sci 2006;83:709-14.  Back to cited text no. 2


  [Figure 1]


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