Management of a Corneal Perforation Due to Resistant Peripheral Ulcerative Keratitis by Repeated Tectonic Patch Grafting Combined with Conjunctival Resection
Makaleler > Tam Makale · 2024
Yazarlar: Okyanus Bulut, Murat Kaşıkcı, SAİT EĞRİLMEZ, Özlem BARUT SELVER
Ege Tıp Dergisi, Uluslararası, 2024, cilt 63, ss 632-634
DOI: 10.19161/etd.1263926
Özet
Tectonic graft patching and conjunctival resection is one of the effective treatment modalities in especially resistant PUK patients with corneal perforation additional to topical and systemic immunosuppressive treatment. A 44-year-old female patient with a 10-year history of rheumatoid arthritis, was referred to our clinic with peripheric corneal perforation. Her visual acuity was at the level of hand movement perception in the left eye. Slit-lamp examination revealed medial PUK with corneal perforation. Tectonic patch grafting was performed. Two weeks later, because of small melting area at the inferior part of the graft with iris incarceration, an additional cornea-scleral graft transplantation was performed. Due to the immune nature of the PUK, limbal conjunctiva at the perforation site was also resected. Three months after the re-grafting, there was no recurrence. Best corrected visual acuity was 5/10 log MAR in the left eye.