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First Author: S.Eissa EGYPT
Co Author(s): I. Othman
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To re-innovate a practical method for management of eccentric corneal perforation with iris prolapse.
Kasr El Ainy hospital, Cairo University,Egypt.
16 years old male, with resistant corneal ulcer in right eye for three weeks, presented with eccentric corneal perforation with iris prolapse, formed AC and UCVA of 0.4. A three millimeters corneal patch , prepared from tectonic graft used for Boston keratoprosthesis( Kpro type I )transplantation for another patient ; was used to seal the perforation , with eight interrupted bites of 10/0 nylon suture
First day postoperatively, the patient with mini-patch graft had completely coapted wound , reposited iris , quiet anterior chamber , and improved UCVA to 0.5, sutures were removed after 9 months with BCVA of 0.9 and no recurrence of infection.
Mini patch graft is an effective and safe treatment modality for eccentric corneal perforation with iris prolapse.