Corneal Perforation Self-Healing with an Iris Plug in the Cornea

Keratitis treatment outcome is usually dependent on the targeted treatment of the cause. We want to present a small corneal ulcer of unidentified origin that progressed into corneal melting and resulted in corneal perforation. The patient had a widespread antibacterial and fungal treatment and an op...

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Main Authors: Liene Muceniece, Inesa Markevica, Guna Laganovska
Format: Article
Language:English
Published: Karger Publishers 2020-07-01
Series:Case Reports in Ophthalmology
Subjects:
Online Access:https://www.karger.com/Article/FullText/508816
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author Liene Muceniece
Inesa Markevica
Guna Laganovska
author_facet Liene Muceniece
Inesa Markevica
Guna Laganovska
author_sort Liene Muceniece
collection DOAJ
description Keratitis treatment outcome is usually dependent on the targeted treatment of the cause. We want to present a small corneal ulcer of unidentified origin that progressed into corneal melting and resulted in corneal perforation. The patient had a widespread antibacterial and fungal treatment and an ophthalmological follow-up with slit-lamp examination and AS-OCT. The spontaneous iris plug in the cornea helped to solve the anterior chamber collapse and made permanent anatomical changes in the anterior part. A 45-week follow-up found a hyperdense stromal corneal scar with 556-µm-wide stable iris-cornea contact and BCVA of 0.8. As a result, an iris plug in the cornea after corneal perforation can have a positive effect on healing and lead to good visual outcome.
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spelling doaj.art-1804969c44c24fe080f36d42ff0f71d02022-12-22T00:02:44ZengKarger PublishersCase Reports in Ophthalmology1663-26992020-07-0111233033510.1159/000508816508816Corneal Perforation Self-Healing with an Iris Plug in the CorneaLiene MucenieceInesa MarkevicaGuna LaganovskaKeratitis treatment outcome is usually dependent on the targeted treatment of the cause. We want to present a small corneal ulcer of unidentified origin that progressed into corneal melting and resulted in corneal perforation. The patient had a widespread antibacterial and fungal treatment and an ophthalmological follow-up with slit-lamp examination and AS-OCT. The spontaneous iris plug in the cornea helped to solve the anterior chamber collapse and made permanent anatomical changes in the anterior part. A 45-week follow-up found a hyperdense stromal corneal scar with 556-µm-wide stable iris-cornea contact and BCVA of 0.8. As a result, an iris plug in the cornea after corneal perforation can have a positive effect on healing and lead to good visual outcome.https://www.karger.com/Article/FullText/508816corneal ulceriris plugas-oct
spellingShingle Liene Muceniece
Inesa Markevica
Guna Laganovska
Corneal Perforation Self-Healing with an Iris Plug in the Cornea
Case Reports in Ophthalmology
corneal ulcer
iris plug
as-oct
title Corneal Perforation Self-Healing with an Iris Plug in the Cornea
title_full Corneal Perforation Self-Healing with an Iris Plug in the Cornea
title_fullStr Corneal Perforation Self-Healing with an Iris Plug in the Cornea
title_full_unstemmed Corneal Perforation Self-Healing with an Iris Plug in the Cornea
title_short Corneal Perforation Self-Healing with an Iris Plug in the Cornea
title_sort corneal perforation self healing with an iris plug in the cornea
topic corneal ulcer
iris plug
as-oct
url https://www.karger.com/Article/FullText/508816
work_keys_str_mv AT lienemuceniece cornealperforationselfhealingwithanirispluginthecornea
AT inesamarkevica cornealperforationselfhealingwithanirispluginthecornea
AT gunalaganovska cornealperforationselfhealingwithanirispluginthecornea