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

Liene Muceniece; Inesa Markevica; Guna Laganovska

doi:10.1159/000508816

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

Liene Muceniece (Corresponding Author), Inesa Markevica, Guna Laganovska

Department of Ophthalmology

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

10 Downloads (Pure)

Abstract

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.

Original language	English
Pages (from-to)	330-335
Number of pages	6
Journal	Case Reports in Ophthalmology
Volume	11
Issue number	2
DOIs	https://doi.org/10.1159/000508816
Publication status	Published - 5 Sept 2020

Keywords*

AS-OCT
Corneal ulcer
Iris plug

Field of Science*

3.2 Clinical medicine

Publication Type*

1.1. Scientific article indexed in Web of Science and/or Scopus database

Access to Document

10.1159/000508816Licence: CC BY-NC

Corneal Perforation Self-HealingFinal published version, 306 KBLicence: CC BY-NC

Cite this

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title = "Corneal Perforation Self-Healing with an Iris Plug in the Cornea",

abstract = "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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T1 - Corneal Perforation Self-Healing with an Iris Plug in the Cornea

AU - Muceniece, Liene

AU - Markevica, Inesa

AU - Laganovska, Guna

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Y1 - 2020/9/5

N2 - 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.

AB - 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.

KW - AS-OCT

KW - Corneal ulcer

KW - Iris plug

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

Abstract

Keywords*

Field of Science*

Publication Type*

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