New Surgical Modality for Management of Corneal Perforation Using Bowman Membrane.
| Autor: | Choudhary DS; Upgraded Department of Ophthalmology, SMS Medical College, Jaipur, Rajasthan, India., Agrawal N |
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| Jazyk: | angličtina |
| Zdroj: | Cornea [Cornea] 2018 Jul; Vol. 37 (7), pp. 919-922. |
| DOI: | 10.1097/ICO.0000000000001587 |
| Abstrakt: | Purpose: To describe a new surgical modality, "Bowman membrane tuck-in," for management of small to medium sized corneal perforation of a noninfectious etiology. Methods: Two patients with corneal perforation of a noninfectious etiology and less than 4 mm in size underwent Bowman membrane tuck-in, a new surgical procedure. In this technique, Bowman membrane harvested from the donor cornea was tucked inside the stromal pocket of host tissue, which was prepared by 360-degree anterior stromal lamellar dissection. Patients were followed up for 6 months and were examined for best-corrected visual acuity, epithelialization time, anterior chamber stability, and graft-related complications. Results: During 6-month follow-up, best-corrected visual acuity improved from PL+ (positive) to 20/120 and 20/200 in patient 1 and patient 2, respectively, and epithelialization was completed within a 2-week period in both patients. Surgery was uneventful in both cases; however, anterior chamber re-formation and graft repositioning were performed in patient 1. None of the patients showed signs of rejection or graft failure at 6-month follow-up. Conclusions: Bowman membrane tuck-in is an effective sutureless and glueless technique for management of corneal perforation of a noninfectious etiology, which may be used in emergency settings for the management of noninfectious corneal perforation of size less than 4 mm. |
| Databáze: | MEDLINE |
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