TY - JOUR
T1 - A successful alternative
T2 - Repair of a penetrating limbal wound by lamellar keratoplasty
AU - Van Der Meulen, Ivanka J.E.
AU - Maillette De Buy Wenniger-Prick, L. J.J.M.
AU - Lapid-Gortzak, R.
AU - Nieuwendaal, C. P.
PY - 2007/1/1
Y1 - 2007/1/1
N2 - PURPOSE. To report repair of a penetrating limbal wound by lamellar keratoplasty 1 year post-traumatically. METHODS. Interventional case report. RESULTS. A 5-year-old boy had a self-inflicted injury leading to a limbal penetrating wound. The wound closed spontaneously by prolapsed subconjunctival uveal tissue and no intervention was planned. One year later surgical closure of the defect was necessary, as the amount of prolapsed tissue had increased. After excising the prolapsed tissue the wound was closed with a lamellar corneal graft, resulting in a quiet and stable anterior segment and a best-corrected visual acuity of 20/16. CONCLUSIONS. Lamellar keratoplasty can be a useful technique to repair a limbal penetrating wound. Corneal allografts have adequate tensile strength, low immunogenicity, and are easy to obtain.
AB - PURPOSE. To report repair of a penetrating limbal wound by lamellar keratoplasty 1 year post-traumatically. METHODS. Interventional case report. RESULTS. A 5-year-old boy had a self-inflicted injury leading to a limbal penetrating wound. The wound closed spontaneously by prolapsed subconjunctival uveal tissue and no intervention was planned. One year later surgical closure of the defect was necessary, as the amount of prolapsed tissue had increased. After excising the prolapsed tissue the wound was closed with a lamellar corneal graft, resulting in a quiet and stable anterior segment and a best-corrected visual acuity of 20/16. CONCLUSIONS. Lamellar keratoplasty can be a useful technique to repair a limbal penetrating wound. Corneal allografts have adequate tensile strength, low immunogenicity, and are easy to obtain.
KW - Childhood
KW - Lamellar keratoplasty
KW - Penetrating ocular injury
KW - Trauma
KW - Uveal prolapse
UR - http://www.scopus.com/inward/record.url?scp=34047255592&partnerID=8YFLogxK
U2 - 10.1177/112067210701700116
DO - 10.1177/112067210701700116
M3 - Article
C2 - 17294391
AN - SCOPUS:34047255592
SN - 1120-6721
VL - 17
SP - 117
EP - 120
JO - European Journal of Ophthalmology
JF - European Journal of Ophthalmology
IS - 1
ER -