ESCRS - PO199 - In Spite Of Gains , It Is Still Challenging

In Spite Of Gains , It Is Still Challenging

Published 2025 - 43rd Congress of the ESCRS

Reference: PO199 | Type: Case Report | DOI: 10.82333/t17f-n242

Authors: Amr Al Amin* 1

1Cornea & Refractive Surgery,Al Mashreq Eye Center,Cairo,Egypt;Cornea & Refractive Surgery,Al Mashreq Eye Center,Cairo,Egypt

Purpose

To discuss management of perforated corneal ulcer in association with femtosecond laser and Phakic IOL

Setting

Single center

Report of case

One Eye with perforated corneal ulcer and hypopyon undergo 5 operations (OVER THREE YEARS), 2 of them using femtosecond laser.

  
Perforated Corneal Ulcer with Hypopyon and UCVA HM undergo condensed treatment to treat the hypopyon in parallel with an operation to close the perforation

This followed by FemtoCatarcat surgery then Femtokeratoplasty (over one year) , Followed by Phakic IOL implantation over the Previous implanted IOL to correct residual errors to reach UCVA 0.5 & BCVA 0.7.

Conclusion/Take home message

Perforated Corneal Ulcer is not always an end stage; Patient could gain more than expected Visual Acuity if good management was done to him