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| OPHTHALMIC IMAGE |
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| Year : 2023 | Volume
: 3
| Issue : 2 | Page : 609 |
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Dimples on the cornea – An ophthalmic image
Manish Bhagat, Deepak Ghimire
Brien Holden Institute of Optometry and Vision Sciences, L V Prasad Eye Institute, Hyderabad, Telangana, India
| Date of Web Publication | 28-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
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/IJO.IJO_2784_22
How to cite this article:
Bhagat M, Ghimire D. Dimples on the cornea – An ophthalmic image. Indian J Ophthalmol Case Rep 2023;3:609 |
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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | 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.  |
| 2. | Ng LH. Central corneal epitheliopathy in a long-term, overnight orthokeratology lens wearer: A case report. Optom Vis Sci 2006;83:709-14. |
[Figure 1]
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