Anagram of "cornea" may allude to the V.F.D.
Arigato: "I appreciate your help, Quigley." ( The Slippery Slope, Chapter Ten).Aregg: "What? I can't believe it." ( The Austere Academy, Chapter Two).Archo: "And the stain never really came out." ( The Reptile Room, Chapter Three).Andiamo: "I'd be happy to take you there." ( The Penultimate Peril, Chapter Six).Given the translation, this may refer to Anaïs Nin, a writer of erotica.Anais: "In the flesh." ( The End, Chapter Eight).Amnesi: "You're forgetting something!" ( The Grim Grotto, Chapter Thirteen).Alias: "Maybe she's listed under a different name." ( The Hostile Hospital, Chapter Eight).that the Quagmires told us about!" ( The Vile Village, Chapter Seven) Albico: "And let's solve the mystery of V.F.D.Akrofil: "And they're not afraid of heights, that's for sure." ( The Ersatz Elevator, Chapter Two).Aklec: "Let's move out." ( The Carnivorous Carnival, Chapter Nine).Aha: "Aha!" ( The Reptile Room, Chapter Ten).Aguen: "Could you saw through the bars of the cage?" ( The Ersatz Elevator, Chapter Eight).Agoula: "What for?" ( The Ersatz Elevator, Chapter Eight).Aget: "Please stop fighting!" ( The Wide Window, Chapter Five).Agery: "Well, we can't keep on walking forever." ( The Hostile Hospital, Chapter One).Afoop: "No." ( The Reptile Room, Chapter Eight).Afficu: "And the only way we'll get into the Library of Records is if we talk to Babs, so it's a risk we have to take." ( The Hostile Hospital, Chapter Four).Aeginu: "And the assistant that looks like neither a man nor a woman." ( The Austere Academy, Chapter Five).From The Murder of Roger Ackroyd by Agatha Christie.Ackroid: "Roger!" ( The Reptile Room, Chapter Nine).Absurdio: "Philosophers live at the tops of mountains or in ivory towers, not underneath the sea." ( The Grim Grotto, Chapter Five).This review describes the clinical features of PMD, its differential diagnosis and various management strategies presently available.Ĭopyright © 2010 British Contact Lens Association. Since patients with PMD make poor candidates for laser vision correction, an awareness of the topographical and slit-lamp features of PMD will be useful to clinicians screening for signs of corneal abnormality before corneal refractive surgery. Several surgical procedures have been used in an attempt to improve visual acuity when spectacles and contact lenses do not provide adequate vision correction. The vast majority of PMD patients are managed using spectacles and contact lenses. In rare cases, patients may present with a sudden loss of vision and excruciating ocular pain due to corneal hydrops or spontaneous perforation. Visual signs and symptoms include longstanding reduced visual acuity or increasing against-the-rule irregular astigmatism leading to a slow reduction in visual acuity. Unless corneal topography is evaluated, early forms of PMD may often be undetected however, in the later stages PMD can often be misdiagnosed as keratoconus. Ocular signs and symptoms of patients with PMD differ depending on the severity of the condition. The prevalence and aetiology of this disorder remain unknown. The condition is most commonly found in males and usually appears between the 2nd and 5th decades of life affecting all ethnicities. Pellucid marginal corneal degeneration (PMD) is a rare ectatic disorder which typically affects the inferior peripheral cornea in a crescentic fashion.