Limbal advancement technique in managing acute or impending peripheral corneal perforations

Purpose: To describe the outcomes of a novel technique for the repair of peripheral corneal perforations using autologous limbal tissue. Methods: Two patients with peripheral corneal perforations with contraindications to other corneal procedures underwent limbal advancements. This technique involve...

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Main Authors: Ernesto Otero, Carolina Mercado
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993622004686
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author Ernesto Otero
Carolina Mercado
author_facet Ernesto Otero
Carolina Mercado
author_sort Ernesto Otero
collection DOAJ
description Purpose: To describe the outcomes of a novel technique for the repair of peripheral corneal perforations using autologous limbal tissue. Methods: Two patients with peripheral corneal perforations with contraindications to other corneal procedures underwent limbal advancements. This technique involves creating a pedicle of the limbus, sclera and conjunctiva to cover the perforation. Results: The tissue had optimal integration in both patients; no aqueous leaks or flat anterior chambers were noted. None of the patients had recurrence of perforation or ocular discomfort. Conclusion: In conclusion, this technique is a cost-effective and straightforward alternative for the repair of impending acute peripheral perforations.
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spelling doaj.art-e2e02fd68907407e859c6567c6b929882022-12-22T02:50:52ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362022-12-0128101722Limbal advancement technique in managing acute or impending peripheral corneal perforationsErnesto Otero0Carolina Mercado1Escuela Superior de Oftalmología, Instituto Barraquer de América, Bogotá, Colombia; Corresponding author. Ac. 100 #18A - 51, Bogotá, Colombia.Escuela Superior de Oftalmología, Instituto Barraquer de América, Bogotá, Colombia; Corresponding author. Ac. 100 #18A – 51, Bogotá, Colombia.Purpose: To describe the outcomes of a novel technique for the repair of peripheral corneal perforations using autologous limbal tissue. Methods: Two patients with peripheral corneal perforations with contraindications to other corneal procedures underwent limbal advancements. This technique involves creating a pedicle of the limbus, sclera and conjunctiva to cover the perforation. Results: The tissue had optimal integration in both patients; no aqueous leaks or flat anterior chambers were noted. None of the patients had recurrence of perforation or ocular discomfort. Conclusion: In conclusion, this technique is a cost-effective and straightforward alternative for the repair of impending acute peripheral perforations.http://www.sciencedirect.com/science/article/pii/S2451993622004686Limbal advancementCorneal perforationSurgical techniquePeripheral ulcerative keratitis
spellingShingle Ernesto Otero
Carolina Mercado
Limbal advancement technique in managing acute or impending peripheral corneal perforations
American Journal of Ophthalmology Case Reports
Limbal advancement
Corneal perforation
Surgical technique
Peripheral ulcerative keratitis
title Limbal advancement technique in managing acute or impending peripheral corneal perforations
title_full Limbal advancement technique in managing acute or impending peripheral corneal perforations
title_fullStr Limbal advancement technique in managing acute or impending peripheral corneal perforations
title_full_unstemmed Limbal advancement technique in managing acute or impending peripheral corneal perforations
title_short Limbal advancement technique in managing acute or impending peripheral corneal perforations
title_sort limbal advancement technique in managing acute or impending peripheral corneal perforations
topic Limbal advancement
Corneal perforation
Surgical technique
Peripheral ulcerative keratitis
url http://www.sciencedirect.com/science/article/pii/S2451993622004686
work_keys_str_mv AT ernestootero limbaladvancementtechniqueinmanagingacuteorimpendingperipheralcornealperforations
AT carolinamercado limbaladvancementtechniqueinmanagingacuteorimpendingperipheralcornealperforations