Case series of scleral patch grafts during COVID-19 pandemic

Jyothi, EK; Krishna, O Gopala; Rao, P Lakshmana; Sekhar, P Raja

doi:10.4103/ijo.ijo_3784_20

Cited by 5 publications

(2 citation statements)

References 5 publications

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“…In addition, tissues from other eye banks could not be transported. Many ophthalmologists resorted to the use of glycerol-preserved corneas [ 4 ] or scleral patch grafts [ 5 ] for therapeutic purposes. Other possible alternatives for emergency use were small incision lenticule extraction (SMILE)-derived lenticule patch grafts [ 6 ], a bandage contact lens with glue, amniotic membrane transplantation(AMT) [ 7 ], and umbilical cord patch [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Restoring the Ocular Integrity of Perforated Corneal Ulcer Using Living Surgical Donor Tissues Derived From Keratoplasty in the COVID-19 Pandemic

Kumari,

Kusumesh,

Sinha

et al. 2024

Cureus

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The coronavirus disease 2019 (COVID-19) caused an unprecedented crisis for corneal surgeons who were forced to strategize for an acute shortage of tissues. Here, we report the initial clinical outcomes of utilizing host corneal buttons derived from optical penetrating keratoplasties of pseudophakic bullous keratoplasty (PBK) patients. Two patients presented to our department with a perforated fungal corneal ulcer in one eye during the COVID-19 pandemic. One eye of each of the patients was operated on with non-vascularized host cut tissues preserved in glycerin. The tissues were secured using 10-0 nylon sutures. Good anatomical integrity was achieved in both eyes. An optical penetrating keratoplasty (PK) was done in both eyes after one year for visual rehabilitation, with a final visual acuity of 20/120 and 20/80, respectively, at six months. In conclusion, therapeutic PK using host tissues obtained from the recipients of optical PK is a safe and effective option to restore ocular integrity during a shortage of fresh or glycerol-preserved corneas. However, optical PK is required for the final visual rehabilitation.

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Section: Introductionmentioning

confidence: 99%

Restoring the Ocular Integrity of Perforated Corneal Ulcer Using Living Surgical Donor Tissues Derived From Keratoplasty in the COVID-19 Pandemic

Kumari,

Kusumesh,

Sinha

et al. 2024

Cureus

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“…We read the interesting case series by Jyothi et al . [ 1 ] highlighting the use of scleral patch graft for corneal perforations during the COVID-19 pandemic. The authors have nicely managed all the cases; however, we have a few important observations and suggestions to make, which we believe will be beneficial for the readers.…”

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confidence: 99%

Comment on: Case series of scleral patch grafts during COVID-19 pandemic

Gurnani

Kaur

2022

Indian Journal of Ophthalmology

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Scleral Grafts in Ophthalmic Surgery. A Review

Dítě,

Netuková,

Procházková

et al. 2024

CSO

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Aim: To summarize the history and current trends in the use of scleral grafts in ophthalmology. Materials and methods: We conducted a review of the literature through the MEDLINE and Cochrane Library databases. The search terms were "sclera", "graft", and "surgery". The search resulted in 1596 articles, of which we evaluated 192 as relevant. The relevant articles were sorted chronologically and according to the method of using scleral grafts, which enabled the development of a review article. Results: The sclera has been routinely used in ophthalmology since the 1950s in many different indications. Some of these indications have become practically obsolete over time (for example, use in the surgical management of retinal detachment), but a large number still find application today (especially use in glaucoma or oculoplastic surgery, or as a patch for a defect in the sclera or cornea). Conclusion: Even though allogeneic sclera is currently used less frequently in ophthalmology compared to other tissue banking products and the range of its indications has partially narrowed, it remains a useful material due to its availability and properties.

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Case series of scleral patch grafts during COVID-19 pandemic

Cited by 5 publications

References 5 publications

Restoring the Ocular Integrity of Perforated Corneal Ulcer Using Living Surgical Donor Tissues Derived From Keratoplasty in the COVID-19 Pandemic

Restoring the Ocular Integrity of Perforated Corneal Ulcer Using Living Surgical Donor Tissues Derived From Keratoplasty in the COVID-19 Pandemic

Comment on: Case series of scleral patch grafts during COVID-19 pandemic

Scleral Grafts in Ophthalmic Surgery. A Review

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