LAUSR

Purpose: The purpose of this study was to describe a case with recurrent corneal erosions who was treated with a Bowman layer (BL) onlay graft. Method: BL onlay transplantation was performed. Results: In a 79-year-old female patient who presented with bilateral map–dot–fingerprint dystrophy and a history of recurrent painful corneal erosions, BL onlay grafting was performed to restore the corneal surface. At 1 month postoperatively, the epithelium was smooth over the graft, and until 1.5 years postoperatively, the patients had no complaints and no recurrence of the epithelial corneal erosion. Conclusions: In the described case, the transplantation of an isolated BL graft as an onlay proved to be an effective treatment for painful chronic recurrent erosions in the context of map–dot–fingerprint dystrophy in a patient who had undergone numerous unsuccessful previous treatments.