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CORNEAL PATCH GRAFT FOR CORNEAL MELTİNG

Poster Details

First Author: E.Duman TURKEY

Co Author(s):    B. Torun Acar   S. Simsek           

Abstract Details

Purpose:

To present a patient who had corneal perforation secondary to corneal abscess after contact lens use.

Setting:

Haydarpasa Numune Education and Research Hospital, Ophthalmology Clinic

Methods:

A twenty four-year-old male was referred to our cornea clinic with the complaint of pain, stinging and watering in his right eye . Best corrected visual acuity (BCVA) was hand movement in his right eye and 9/10 in his left eye. Slit lamp examination showed intense ciliary injection, 3 mm melting at 7 o’clock level of cornea which accessed to limbus and iris tissue was out of the cornea. Anterior chamber was shallow and 4+ cellular reaction was observed. There was no pupil field. Left eye examination was normal. As a result of these findings tectonic keratoplasty was planned.

Results:

Vacuum trephine was used to mark the recepient bed by covering the melted corneal area. The graft cornea was prepared with 6.0 mm vacuum punch. The recepient bed was prepared with corneal scissor by cutting the cornea up to the limbus and graft cornea was fixed to the corneal size of the host bed by using single sutures. The optical axis remained clear and suture-free after the scleral size of the graft cornea was shaped properly to the curvature of the limbus. Postoperative topical antibioterapia and steroid was started. At first month examination, his BCVA was 7/10 with -4.25 correction.

Conclusions:

In the full-thickness peripheral corneal damages, corneal patch graft may be an alternative treatment to eccantric keratoplasty which includes the optical axis.

Financial Disclosure:

NONE

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