Management of Nontraumatic Corneal Perforation With Tectonic Drape Patch and Cyanoacrylate Glue
| Autor: | Daniel Killingsworth, Michele M. Bloomer, M. Rami Bailony, Bennie H. Jeng, Yousuf M. Khalifa |
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| Rok vydání: | 2010 |
| Předmět: |
Male
Leak medicine.medical_specialty Interstitial keratitis Perforation (oil well) law.invention law Cornea medicine Humans Cyanoacrylates Corneal Scar Corneal Perforation business.industry Middle Aged Surgical Mesh Corneal perforation medicine.disease eye diseases Surgery Ophthalmology medicine.anatomical_structure Surgical mesh Cyanoacrylate Tissue Adhesives sense organs business |
| Zdroj: | Cornea. 29:1173-1175 |
| ISSN: | 0277-3740 |
| DOI: | 10.1097/ico.0b013e3181d5d996 |
| Popis: | PURPOSE: To report a case of nontraumatic corneal perforation managed with a tectonic drape patch. METHODS: Interventional case report. RESULTS: A 60-year-old patient with a corneal scar in his left eye likely secondary to herpes simplex virus interstitial keratitis underwent laser peripheral iridotomy for narrow angles. He developed progressive thinning of the cornea overlying the scar that led to a descemetocele and then ultimately a 1.2- × 1.7-mm perforation. Intraoperatively, several attempts were made to seal the perforation with cyanoacrylate glue, but the wound continued to leak. Sterile plastic drape that was on the surgical field was fashioned into a 2-mm-diameter patch, and the peripheral edge of the tectonic drape patch was glued over the perforation, successfully sealing the cornea. One week later, the drape patch was intact without leak, and a penetrating keratoplasty was carried out without complication. CONCLUSIONS: Tectonic drape patch technique for nontraumatic corneal perforations in which there is tissue loss is a viable temporizing option when cyanoacrylate glue alone fails and when there is no corneal tissue or amniotic membrane available to close the wound. |
| Databáze: | OpenAIRE |
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