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Tectonic Anterior Lamellar Keratoplasty for Corneal Perforation in PUK

Matthew S. Ward, MD

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This patient presented with a sterile corneal melt and leaking Descemetocele presumed to be due to peripheral ulcerative keratitis. Blood tests showed a positive anti-nuclear antibody (ANA) indicating a likely underlying systemic etiology. We chose to close the defect temporarily with cyanoacrylate glue and then performed a tectonic lamellar graft to restore structural integrity of the cornea in this area and close the hole. Luckily, the melt did not involve the visual axis and her final best-corrected acuity was 20/20.

Posted: 8/27/2014

Keywords:

Cornea

•

Lamellar Keratoplasty

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Tectonic Anterior Lamellar Keratoplasty for Corneal Perforation in PUK

Matthew S. Ward, MD

This patient presented with a sterile corneal melt and leaking Descemetocele presumed to be due to peripheral ulcerative keratitis. Blood tests showed a positive anti-nuclear antibody (ANA) indicating a likely underlying systemic etiology. We chose to close the defect temporarily with cyanoacrylate glue and then performed a tectonic lamellar graft to restore structural integrity of the cornea in this area and close the hole. Luckily, the melt did not involve the visual axis and her final best-corrected acuity was 20/20.

Posted: 8/27/2014

Keywords:

Cornea

•

Lamellar Keratoplasty

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Comments

mcamp 1969

10 years ago

Very nice case. Thank you for posting.

Majid Moshirfar

11 years ago

Excellent job. Truly enjoyed your work. Hope to see more of your work.

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