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Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 2/2024

18-08-2023 | Keratoplasty | Cornea

Patch endothelial keratoplasty for corneal perforations secondary to ocular surface disease: case series

Authors: Javier Lacorzana, Sheng Chiong Hong, Pierre Georges, Constantinos Petsoglou

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 2/2024

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Abstract

Background

Corneal perforation is an ophthalmic emergency. The conventional management of corneal perforation can be associated with severe complications especially in patients with ocular surface disease. Endothelial keratoplasty has been suggested as an alternative surgical technique for the management of corneal perforations. We present a case series of nine patients with corneal perforation and ocular surface disease managed with secondary patch endothelial keratoplasty.

Methods

This is a retrospective case series of nine patch endothelial keratoplasties performed between 2016 and 2022 at a quaternary eye hospital in Australia. The surgical technique is similar to conventional endothelial keratoplasty except descemetorhexis was not performed.

Results

A total of 9 cases were treated during the review period. Eight of the nine cases had an improvement in visual acuity. One case failed to achieve corneal tectonic objective.

Conclusion

Patch endothelial keratoplasty is a safe secondary procedure for the management of corneal perforations in patients with ocular surface disease.
Literature
5.
go back to reference Lacorzana J, Campos A, Brocal-Sánchez M et al (2021) Visual acuity and number of amniotic membrane layers as indicators of efficacy in amniotic membrane transplantation for corneal ulcers: a multicenter study. J Clin Med 10. https://doi.org/10.3390/jcm10153234 Lacorzana J, Campos A, Brocal-Sánchez M et al (2021) Visual acuity and number of amniotic membrane layers as indicators of efficacy in amniotic membrane transplantation for corneal ulcers: a multicenter study. J Clin Med 10. https://​doi.​org/​10.​3390/​jcm10153234
Metadata
Title
Patch endothelial keratoplasty for corneal perforations secondary to ocular surface disease: case series
Authors
Javier Lacorzana
Sheng Chiong Hong
Pierre Georges
Constantinos Petsoglou
Publication date
18-08-2023
Publisher
Springer Berlin Heidelberg
Keyword
Keratoplasty
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 2/2024
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-023-06194-y

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