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International Ophthalmology

, Volume 34, Issue 4, pp 957–960 | Cite as

Use of an autologous lamellar scleral graft to repair a corneal perforation

  • Pawan Prasher
Case Report

Abstract

To report the use of an autologous lamellar scleral graft to close a corneal perforation. Our patient was a 55-year-old female who presented with a paracentral 2 × 2 mm perforation in the center of a preexisting corneal opacity. Because of the unavailability of corneal tissue and the failure to seal the perforation with glue, a partial thickness lamellar scleral graft was harvested from the inferotemporal quadrant and used to close the corneal defect. There was gradual adherence and uptake of the scleral tissue into the surrounding cornea along with significant clearing over the next few months. At 9 months, her best-corrected visual acuity was 20/80 with a stable anterior chamber, focal posterior synechiae and early cataract changes. A band of iris tissue was observed within the lens substance extending posterolaterally from 1 to 7 o’clock positions. In the absence of donor corneal tissue and in selective emergency situations, an autologous scleral patch graft can be considered as a viable alternative in the treatment of full-thickness corneal perforations. We also report the presence of a band of iris tissue within the lens, a finding which has not been previously reported.

Keywords

Anterior Chamber Corneal Opacity Corneal Tissue Cyanoacrylate Glue Amniotic Membrane Transplantation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Jhanji V, Young AL, Mehta JS, Sharma N, Agarwal T, Vajpayee RB (2011) Management of corneal perforation. Surv Ophthalmol 56:522–538PubMedCrossRefGoogle Scholar
  2. 2.
    Levartovsky S, Springer A, Leiba H, Marcovich AL, Pollack A (2008) Homologous scleral graft for corneal perforation in a child. Cornea 27:230–231PubMedCrossRefGoogle Scholar
  3. 3.
    Larsson S (1948) Treatment of perforated corneal ulcer by autoplastic scleral transplantation. Br J Ophthalmol 32:54–57PubMedCentralPubMedCrossRefGoogle Scholar
  4. 4.
    Stilma JS (1983) Conjunctival excision or lamellar scleral autograft in 38 Mooren’s ulcers from Sierra Leone. Br J Ophthalmol 67:475–478PubMedCentralPubMedCrossRefGoogle Scholar
  5. 5.
    Prydal JI (2006) Use of an autologous lamellar scleral graft to repair a corneal perforation. Br J Ophthalmol 90:924–925PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  1. 1.Department of OphthalmologySri Guru Ram Das Institute of Medical Sciences and ResearchAmritsarIndia

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