ArticlesGaze-Induced Desçemet’s Folds Secondary to a Primary PterygiumSolomon, Renée M.D.; Ehrenhaus, Michael M.D.; Palmer, Carrie M.S.; Perry, Henry D. M.D.; Donnenfeld, Eric D. M.D.Author Information From Ophthalmic Consultants of Long Island (R.S., H.D.P., E.D.D.), Rockville Centre, NY; Saint Vincent Catholic Medical Centers of Brooklyn and Queens (M.E.), Queens, NY; New York Medical College (C.P.), Valhalla, NY; and Nassau University Medical Center (H.D.P., E.D.D.), East Meadow, NY. Address correspondence and reprint requests to Dr. E.D. Donnenfeld, Ophthalmic Consultants of Long Island, Ryan Medical Arts Building, 2000 North Village Avenue, Suite 402, Rockville Centre, NY 11570; e-mail: [email protected] Accepted March 29, 2005. Eye & Contact Lens: Science & Clinical Practice: November 2005 - Volume 31 - Issue 6 - p 288-290 doi: 10.1097/01.icl.0000167713.37080.57 Buy Metrics Abstract Purpose. To report a case of gaze-induced Desçemet’s folds secondary to a primary pterygium. Methods. Interventional case report, chart review, and literature review. Results. Slitlamp examination of a 49-year-old man showed Desçemet’s folds in the left eye on extreme right gaze secondary to the restrictive effect of a primary pterygium. The folds correlated with increasing astigmatism documented on corneal topography and restricted ocular motility and diplopia on attempted adduction. Conclusions. To the authors’ knowledge, this is the first reported case of folds induced in Desçemet’s membrane secondary to the tethering effect of a primary pterygium. © 2005 Lippincott Williams & Wilkins, Inc.