Surgical management corneal perforation: about a case
First Author: Z.Hmeimett MOROCCO
Co Author(s): F. Boudguigue N. Faria Correia L. Charkaoui
The aim of this work is to draw attention to the importance of the speed of treatment to achieve the best result
This is a 15-year-old patient with a history of thermal burn of the face and upper limbs from 4 months of age who suffered a self-trauma from a nail stroke in the left eye. The examination found on inspection a bilateral ectropion sequelae with a positive Charles-Bell sign. The OG examination finds: Visual acuity at 4/1. 0 Diffuse conjunctival hyperemia. Cornea seat of a perilimbic inferior perforation with hernia of the iris, an anterior chamber reduced from depth to inferior with a pupil attracted towards the perforation
The patient was operated under general anesthesia with reintegration of the iris and placement of an autologous scleral patch taken from the same eye fixed by corneal and scleral sutures. The evolution was marked by scarring of the scleral graft with the appearance on its surface of a neovascularization. The final acuity was 8/10. The diagnosis of post-traumatic corneal perforation is easy given the associated clinical context. Signs of corneal perforation are often evident on clinical examination.) These are the cause, the size and the location of the perforation which determine the therapeutic management.
The treatment of corneal perforations depends on its etiology. The aim of the various surgical techniques is to preserve the integrity of the globe as a priority with an often disappointing visual rehabilitation. The evolution in the absence of surgical treatment is towards a loss of the globe by phtysis or enucleation.