Management of corneal perforations: An update

Deshmukh, Rashmi; Stevenson, Louis J; Vajpayee, Rasik B

doi:10.4103/ijo.ijo_1151_19

Cited by 76 publications

(70 citation statements)

References 75 publications

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“…Corneal perforations up to 2 mm to 3 mm in diameter can be sealed with Cyanoacrylate glue if the surrounding tissue is healthy. Alternatively, a Tenon's patch graft or a multi-layered amniotic membrane graft can also be used [5].…”

Section: Discussionmentioning

confidence: 99%

Sclera to the Rescue in the Covid-19 Pandemic- Therapeutic Scleral Grafting in Perforated Corneal Ulcers due to Donor Cornea Shortage

Natarajan¹,

Matai²,

Narayanan³

2021

CCR

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Section: Discussionmentioning

confidence: 99%

Sclera to the Rescue in the Covid-19 Pandemic- Therapeutic Scleral Grafting in Perforated Corneal Ulcers due to Donor Cornea Shortage

Natarajan¹,

Matai²,

Narayanan³

2021

CCR

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“…In case, donor cornea is not immediately available, other options for treating such post-repair persistent leaks are corneal glue, conjunctival or amniotic membrane transplant and tenon's patch graft. 6 …”

Section: Discussionmentioning

confidence: 99%

Tectonic Graft for Persistent Leakage and Visual Outcome After Corneal Perforation Repair: A Case Series

2020

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Keratoplasty is a modality of treatment for large and leaking corneal perforation in a tertiary center. We report cases of 20and 30-years old men presented in an emergency with history of road traffic accident 1 and 3 days back. Best corrected visual acuity was hand movement in both injured eye. Slit lamp examination of both cases revealed full thickness corneal laceration with Siedel test positive. Both cases underwent corneal laceration repair with resuturing and corneal glue on consecutive days but couldn't seal the leaking wound. Then ultimately both were undergone for tectonic keratoplasty. The final best corrected visual activity of involved eye was 6/36 in case 1 and 6/24 in case 2. Most cases of traumatic corneal perforation undergone urgent corneal repair but sometimes very difficult to seal the wound. In such cases donor cornea tissue may have to be used to maintain integrity of globe and better visual potential.

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“…Hence, it should be considered a last resort for tectonic stabilization of the globe if required and not for visual rehabilitation. Other techniques for tectonic stabilization of the globe, such as Tenon’s patch graft, multi-layered AMT, cyanoacrylate tissue adhesive application, or corneal patch graft, should be preferred over tectonic penetrating keratoplasty when feasible [ 70 , 71 , 72 ]. Specialized surgeries, such as limbal stem cell transplantation [ 73 ] and Boston type I keratoprosthesis [ 74 ], can be undertaken for relatively wet eyes for visual rehabilitation.…”

Section: Levels Of Prevention Of Dedmentioning

confidence: 99%

An Evidence-Based Strategic Approach to Prevention and Treatment of Dry Eye Disease, a Modern Global Epidemic

2021

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Dry eye disease (DED) is an emerging health concern causing significant visual, psychological, social, and economic impact globally. In contrast to visual rehabilitation undertaken at late stages of DED, measures instituted to prevent its onset, establishment, or progression can alter its natural course and effectively bring down the associated morbidity. This review attempts to present the available literature on preventive strategies of DED at one place, including strategies for risk assessment and mitigation, targeting a wide range of population. A literature search was conducted using PubMed and an extensive literature review on preventive strategies for DED was compiled to put forth a holistic and strategic approach for preventing DED. This can be undertaken at various stages or severity of DED directed at different tiers of the health care system. Conclusion: This review intends to put emphasis on preventive strategies being adopted as an integral part of routine clinical practice by general ophthalmologists and specialists to tackle the burden of DED and improve the quality of the lives of the patients suffering from it.

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Management of corneal perforations: An update

Cited by 76 publications

References 75 publications

Sclera to the Rescue in the Covid-19 Pandemic- Therapeutic Scleral Grafting in Perforated Corneal Ulcers due to Donor Cornea Shortage

Sclera to the Rescue in the Covid-19 Pandemic- Therapeutic Scleral Grafting in Perforated Corneal Ulcers due to Donor Cornea Shortage

Tectonic Graft for Persistent Leakage and Visual Outcome After Corneal Perforation Repair: A Case Series

An Evidence-Based Strategic Approach to Prevention and Treatment of Dry Eye Disease, a Modern Global Epidemic

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