Innovative Strategies For Large Corneal Perforations
Management In The Absence Of Corneal Donor Tissue
During Covid Times
Published 2022
- 40th Congress of the ESCRS
Reference: PP14.15
| Type: Case report
| DOI:
10.82333/pnqb-jw22
Authors:
Sraddha Limbu* 1
, Amit Gupta 2
, Barkha Gupta 2
, Muskan Bansal 2
1Ophthalmology,Postgraduate Institute of Medical Education and Research,Chandigarh,India;Ophthalmology,Postgraduate Institute of Medical Education and Research,Chandigarh,India, 2Ophthalmology,Postgraduate Institute of Medical Education and Research,Chandigarh,India
We report the outcomes of unconventional strategies and innovations for
emergency management of large central and peripheral corneal perforations.
Cornea and Refractive Services of Advanced Eye Centre, Post Graduate Institute of
Medical Education and Research (PGIMER), Chandigarh, India
We describe the management outcomes of 7 patients who presented with
complicated corneal perforations during the COVID pandemic and were managed on an
emergency basis using preserved allogenic scleral tissue/ SMILE derived lenticule, due to
non-availability of corneal graft. The mean size of corneal perforation was 3.5+1.13 mm
(range 2-6 mm). Two perforations were peripheral and 5 central, 4 eyes had a sterile melt, 2
were infective and 1 post traumatic. Lamellar allogenic scleral patch graft with or without
amniotic membrane was done in 4 eyes, glue or suture assisted application of SMILE derived
lenticule in 3 eyes. Globe integrity was preserved in all eyes at 2 months follow up.
Preserved allogenic sclera and SMILE derived lenticule can be successfully
applied as an emergency globe and sight saving procedure in corneal perforations.