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Lamellar keratoplasty for peripheral corneal perforation

Poster Details

First Author: U.Kamis TURKEY

Co Author(s):    B. Bozkurt   B. Ekinci Koktekir   A. Mesen        

Abstract Details


To present a case of peripheral corneal perforation treated by lamellar keratoplasty


Department of Ophthalmology Selcuk University


A 58-year-old patient was admitted to clinic with complaint of epiphora in the left eye. He had a history of ocular trauma eight years ago. Visual acuities were 1.0 and 0.2, in the right and left eyes respectively. Biomicroscopic evaluation revealed a 2×2 mm peripheral corneal perforation at the 5 o’clock position of limbus and accompanying iris prolapsus in the left eye. Seidel test with fluorescein was positive. Fundoscopic evaluation was not possible in the left eye, and was normal in the right eye. Patient has been followed with contact lens patching in another center since two years.


The corneal perforation was enlarged to a 4×4 mm circular defect and was successfully patched with a 5×5 mm lamellar corneal graft (the endothelium and descement membrane of the graft was peeled off), which was attached with interruptive sutures. The visual acuity increased to 0.5 in the postoperative third month (fundoscopic evaluation was possible then and revealed macular drusen in the left eye).


Lamellar corneal keratoplasty might be a good alternative in peripheral corneal perforation.

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