An adolescent girl presented with low vision in the left eye since birth. Her uncorrected visual acuity was 20/20 OD and 20/200 OS. A history of obstetric forceps-assisted vaginal delivery was elicited. Ocular examination was remarkable for the presence of oblique striae in the cornea of the left eye (Figure, A). Intraocular pressure and posterior segment examination results were normal. Scheimpflug imaging revealed 9 diopters with the rule astigmatism. Anterior segment optical coherence tomography of the cornea showed multiple Descemet folds and scarring (Figure, B). Best corrected visual acuity of 20/63 was achieved with −1.5DS/+5.50DC × 70.
Yadav S, Singh A, Tandon R. Folds in Descemet Membrane Associated With Forceps-Induced Injury. JAMA Ophthalmol. 2017;135(6):e170669. doi:10.1001/jamaophthalmol.2017.0669