Retrocorneal Scleral Patch Supported Glue: A Technique for Management of Corneal Perforation and Corneoscleral Melt following Pterygium Surgery
Abstract Purpose: To describe a new method of treatment of corneal perforation with extensive corneoscleral melt. Case Report: A 42-year-old man presented with moderate-sized (3.5 mm) corneal perforation with extensive corneo-limbo-scleral ulceration following bare sclera excision of pterygium. No p...
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| Format: | Article |
| Language: | English |
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Knowledge E
2023-02-01
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| Series: | Journal of Ophthalmic & Vision Research |
| Subjects: | |
| Online Access: | https://doi.org/10.18502/jovr.v18i1.12732 |
| _version_ | 1827999630674100224 |
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| author | Ashok Sharma Rajan Sharma Verinder S. Nirankari |
| author_facet | Ashok Sharma Rajan Sharma Verinder S. Nirankari |
| author_sort | Ashok Sharma |
| collection | DOAJ |
| description | Abstract Purpose: To describe a new method of treatment of corneal perforation with extensive corneoscleral melt. Case Report: A 42-year-old man presented with moderate-sized (3.5 mm) corneal perforation with extensive corneo-limbo-scleral ulceration following bare sclera excision of pterygium. No prior use of antimetabolites or postoperative beta radiation noted. We considered retrocorneal sclera patch supported cyanoacrylate application. The sclera was thinned to one-third thickness and a patch (4.5 × 4.5 mm) was punched. The sclera patch was placed on the iris, behind the corneal perforation, adequately covering it from inside. A minimal amount of adhesive was applied on the retrocorneal sclera patch and margin of corneal perforation. The ulcerating sclera was covered with double layered amniotic membrane. Topical antibiotic, steroid, and cycloplegic drops were instilled thrice daily. Corneal perforation healed and no recurrence occurred during the 18 months' follow-up. Conclusion: Retrocorneal scleral patch supported cyanoacrylate is effective for corneal perforation with corneo-scleral melt. |
| first_indexed | 2024-04-10T06:01:35Z |
| format | Article |
| id | doaj.art-5b9de5574da6407cad1e2499d053e4a4 |
| institution | Directory Open Access Journal |
| issn | 2008-2010 2008-322X |
| language | English |
| last_indexed | 2024-04-10T06:01:35Z |
| publishDate | 2023-02-01 |
| publisher | Knowledge E |
| record_format | Article |
| series | Journal of Ophthalmic & Vision Research |
| spelling | doaj.art-5b9de5574da6407cad1e2499d053e4a42023-03-03T07:07:47ZengKnowledge EJournal of Ophthalmic & Vision Research2008-20102008-322X2023-02-011811210.18502/jovr.v18i1.12732jovr.v18i1.12732Retrocorneal Scleral Patch Supported Glue: A Technique for Management of Corneal Perforation and Corneoscleral Melt following Pterygium SurgeryAshok Sharma0Rajan Sharma1Verinder S. Nirankari2 Ashok Sharma, MS. Cornea Centre, SCO 2463 - 2464, Sector 22C, Chandigarh 160022, India Ashok Sharma, MS. Cornea Centre, SCO 2463 - 2464, Sector 22C, Chandigarh 160022, India Ashok Sharma, MS. Cornea Centre, SCO 2463 - 2464, Sector 22C, Chandigarh 160022, IndiaAbstract Purpose: To describe a new method of treatment of corneal perforation with extensive corneoscleral melt. Case Report: A 42-year-old man presented with moderate-sized (3.5 mm) corneal perforation with extensive corneo-limbo-scleral ulceration following bare sclera excision of pterygium. No prior use of antimetabolites or postoperative beta radiation noted. We considered retrocorneal sclera patch supported cyanoacrylate application. The sclera was thinned to one-third thickness and a patch (4.5 × 4.5 mm) was punched. The sclera patch was placed on the iris, behind the corneal perforation, adequately covering it from inside. A minimal amount of adhesive was applied on the retrocorneal sclera patch and margin of corneal perforation. The ulcerating sclera was covered with double layered amniotic membrane. Topical antibiotic, steroid, and cycloplegic drops were instilled thrice daily. Corneal perforation healed and no recurrence occurred during the 18 months' follow-up. Conclusion: Retrocorneal scleral patch supported cyanoacrylate is effective for corneal perforation with corneo-scleral melt.https://doi.org/10.18502/jovr.v18i1.12732corneal perforationcyanoacrylate tissue adhesivepterygium surgeryscleral necrosisscleral patch |
| spellingShingle | Ashok Sharma Rajan Sharma Verinder S. Nirankari Retrocorneal Scleral Patch Supported Glue: A Technique for Management of Corneal Perforation and Corneoscleral Melt following Pterygium Surgery Journal of Ophthalmic & Vision Research corneal perforation cyanoacrylate tissue adhesive pterygium surgery scleral necrosis scleral patch |
| title | Retrocorneal Scleral Patch Supported Glue: A Technique for Management of Corneal Perforation and Corneoscleral Melt following Pterygium Surgery |
| title_full | Retrocorneal Scleral Patch Supported Glue: A Technique for Management of Corneal Perforation and Corneoscleral Melt following Pterygium Surgery |
| title_fullStr | Retrocorneal Scleral Patch Supported Glue: A Technique for Management of Corneal Perforation and Corneoscleral Melt following Pterygium Surgery |
| title_full_unstemmed | Retrocorneal Scleral Patch Supported Glue: A Technique for Management of Corneal Perforation and Corneoscleral Melt following Pterygium Surgery |
| title_short | Retrocorneal Scleral Patch Supported Glue: A Technique for Management of Corneal Perforation and Corneoscleral Melt following Pterygium Surgery |
| title_sort | retrocorneal scleral patch supported glue a technique for management of corneal perforation and corneoscleral melt following pterygium surgery |
| topic | corneal perforation cyanoacrylate tissue adhesive pterygium surgery scleral necrosis scleral patch |
| url | https://doi.org/10.18502/jovr.v18i1.12732 |
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