OBJECTIVE: To describe a novel surgical technique for the sealing of large corneal perforations. METHOD: Case report of a perforated, 3-mm, postherpetic, corneal ulcer. A single layer of amniotic membrane was sewn to the internal surface of the cornea. An absorbable fibrin sealant patch (TachoSil) was placed in the area of the perforation, and a folded double layer of amniotic membrane was finally sewn to the external face of the cornea. RESULT: Surgery without complications, leading to restoration of the anterior chamber and good subjective tolerance. CONCLUSION: The reported technique seems to represent a good alternative emergency procedure for the management of corneal perforations larger than 2 mm.
OBJECTIVE: To describe a novel surgical technique for the sealing of large corneal perforations. METHOD: Case report of a perforated, 3-mm, postherpetic, corneal ulcer. A single layer of amniotic membrane was sewn to the internal surface of the cornea. An absorbable fibrin sealant patch (TachoSil) was placed in the area of the perforation, and a folded double layer of amniotic membrane was finally sewn to the external face of the cornea. RESULT: Surgery without complications, leading to restoration of the anterior chamber and good subjective tolerance. CONCLUSION: The reported technique seems to represent a good alternative emergency procedure for the management of corneal perforations larger than 2 mm.
Authors: Yingxin Chen; Minghong Gao; Joshua K Duncan; Di Ran; Denise J Roe; Michael W Belin; Mingwu Wang Journal: Exp Ther Med Date: 2016-09-13 Impact factor: 2.447
Authors: Whitney L Stoppel; Chiara E Ghezzi; Stephanie L McNamara; Lauren D Black; David L Kaplan Journal: Ann Biomed Eng Date: 2014-12-24 Impact factor: 3.934