Case ReportOptical Coherence Tomography and In Vivo Confocal Microscopy Features of Obstetric Injury of the CorneaSzaflik, Jacek P MD; Ołdak, Monika MD; Kwiecień, Sława MD; Udziela, Monika MD; Szaflik, Jerzy MD, PhDAuthor Information From the *Department of Ophthalmology, and †Department of Histology and Embryology, Center of Biostructure Research, Medical University of Warsaw, Warsaw, Poland. Received for publication November 4, 2007; revision received February 20, 2008; accepted March 2, 2008. The authors have no financial or proprietary interest in any material or method mentioned. No financial support was received. Presented in part at XXV Congress of the European Society of Cataract and Refractive Surgeons, Stockholm, Sweden, September 8-12, 2007. Reprints: Jacek P. Szaflik, MD, Department of Ophthalmology, Medical University of Warsaw, ul. Sierakowskiego 13, 03-709 Warsaw, Poland (e-mail: firstname.lastname@example.org). Cornea: October 2008 - Volume 27 - Issue 9 - p 1070-1073 doi: 10.1097/ICO.0b013e318172fbff Buy Metrics Abstract We present a case of a 54-year-old man who reported to our department complaining of worsening vision and halos in the left eye. Slit-lamp biomicroscopy showed 2 distinctive oblique vertical lines situated on the posterior surface of the cornea. Anterior segment optical coherence tomography (AS-OCT) demonstrated bandlike structures protruding from the cornea into the anterior chamber for approximately 430 and 100 μm. In vivo confocal microscopy (IVCM) revealed stromal edema, low endothelial density, and prominent hyperreflective linear structures at the endothelium depth and behind the endothelium. The patient had a history of complicated, in-hospital, forceps-assisted delivery. The perinatal ophthalmic history was noncontributory. The fellow eye was healthy. We conclude that AS-OCT and IVCM are useful in confirming the clinical diagnosis of suspected perinatal corneal trauma because of the specific appearance of the Descemet membrane hypertrophic ridge in those examinations. There is a good correlation between the results of AS-OCT and IVCM. Copyright © 2008 Wolters Kluwer Health, Inc. All rights reserved.