Abstract | BACKGROUND: Surgical intervention for corneal perforation is indicated when the anterior chamber does not reform within a short period of time. Herein, we report the successful management of a small paracentral corneal perforation using autologous iris incarceration and tissue adhesive. CASE: A 41-year-old man developed a small paracentral corneal perforation (0.5 mm in size) in the right eye, while the treating physician attempted to remove the residual rust ring after removal of a piece of metallic foreign body. OBSERVATIONS: The eye was initially managed with a bandage soft contact lens to ameliorate the aqueous leakage; however, without success. Iatrogenic iris incarceration of the wound was first induced, followed by application of cyanoacrylate tissue adhesive to the perforated site. As a result, the anterior chamber was immediately reformed and maintained. Complete corneal epithelialization of the perforation was achieved in 2 months without visual compromises. CONCLUSIONS:
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Authors | Akira Kobayashi, Hideaki Yokogawa, Kazuhisa Sugiyama |
Journal | Case reports in ophthalmology
(Case Rep Ophthalmol)
Vol. 3
Issue 2
Pg. 226-9
(May 2012)
ISSN: 1663-2699 [Electronic] Switzerland |
PMID | 22807912
(Publication Type: Case Reports)
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