Abstract
PURPOSE: To show the emergency use of preserved homologous sclera for the repair of a perforated cornea in a young child. METHODS: Our case was a 3.5-year-old boy who presented with an acute corneal ulcer and endophthalmitis, which was complicated by a developing corneal melting and perforation of 2.5-mm diameter during pars plana vitrectomy. Because no donor cornea was available, a full-thickness preserved donor sclera was used to close the corneal defect. RESULTS: During the next 8 months, scar tissue formed underneath the scleral graft. The graft was removed, revealing mild opacification at the site of corneal perforation. Three years after surgery, best-corrected visual acuity was 20/60. CONCLUSIONS: In the absence of a corneal button for grafting, preserved homologous sclera may be used for closing a corneal defect.
Original language | English |
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Pages (from-to) | 230-231 |
Number of pages | 2 |
Journal | Cornea |
Volume | 27 |
Issue number | 2 |
DOIs | |
State | Published - 1 Feb 2008 |
Keywords
- Corneal perforation
- Scleral graft
- Scleral transplantation
ASJC Scopus subject areas
- Ophthalmology