Treatment of perforated cornea with an autologous lamellar scleral graft: histologic findings
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We report a case of central corneal perforation treated with an autologous lamellar scleral graft and histologic findings obtained after a subsequent penetrating keratoplasty. A corneal perforation within a large Pseudomonas ulcer in a 55-year-old male rigid gas permeable contact lens wearer was sealed by a lamellar scleral graft from the same eye, followed by an uneventful penetrating keratoplasty 6 months later. Histology of the excised button revealed that the well-apposed graft, which maintained the irregular arrangement of the scleral collagen fibers, was embedded in the corneal stroma over the deep blood vessels and a rupture in Descemet's membrane. The clinical and histologic findings showed that autologous lamellar scleral grafts can be successfully used for the emergency treatment of corneal perforation when a corneal transplant is not available. The distinctive scleral structure revealed by histology and the inadequate graft transparency indicate that visual rehabilitation of... eyes with a central corneal perforation can be achieved only by a subsequent optic penetrating keratoplasty.
Кључне речи:
Corneal injuries / Corneal transplantation / Sclera/transplantation / Transplantation, autologous / Keratoplasty, penetratingИзвор:
Arquivos Brasileiros De Oftalmologia, 2018, 81, 1, 59-62Издавач:
- Consel Brasil Oftalmologia, Sao Paulo
DOI: 10.5935/0004-2749.20180013
ISSN: 0004-2749
PubMed: 29538596
WoS: 000427401000013
Scopus: 2-s2.0-85043500612
Колекције
Институција/група
Stomatološki fakultetTY - JOUR AU - Jovanović, Vesna AU - Jankov, Mirko AU - Nikolić, Ljubisa PY - 2018 UR - https://smile.stomf.bg.ac.rs/handle/123456789/2311 AB - We report a case of central corneal perforation treated with an autologous lamellar scleral graft and histologic findings obtained after a subsequent penetrating keratoplasty. A corneal perforation within a large Pseudomonas ulcer in a 55-year-old male rigid gas permeable contact lens wearer was sealed by a lamellar scleral graft from the same eye, followed by an uneventful penetrating keratoplasty 6 months later. Histology of the excised button revealed that the well-apposed graft, which maintained the irregular arrangement of the scleral collagen fibers, was embedded in the corneal stroma over the deep blood vessels and a rupture in Descemet's membrane. The clinical and histologic findings showed that autologous lamellar scleral grafts can be successfully used for the emergency treatment of corneal perforation when a corneal transplant is not available. The distinctive scleral structure revealed by histology and the inadequate graft transparency indicate that visual rehabilitation of eyes with a central corneal perforation can be achieved only by a subsequent optic penetrating keratoplasty. PB - Consel Brasil Oftalmologia, Sao Paulo T2 - Arquivos Brasileiros De Oftalmologia T1 - Treatment of perforated cornea with an autologous lamellar scleral graft: histologic findings VL - 81 IS - 1 SP - 59 EP - 62 DO - 10.5935/0004-2749.20180013 ER -
@article{ author = "Jovanović, Vesna and Jankov, Mirko and Nikolić, Ljubisa", year = "2018", abstract = "We report a case of central corneal perforation treated with an autologous lamellar scleral graft and histologic findings obtained after a subsequent penetrating keratoplasty. A corneal perforation within a large Pseudomonas ulcer in a 55-year-old male rigid gas permeable contact lens wearer was sealed by a lamellar scleral graft from the same eye, followed by an uneventful penetrating keratoplasty 6 months later. Histology of the excised button revealed that the well-apposed graft, which maintained the irregular arrangement of the scleral collagen fibers, was embedded in the corneal stroma over the deep blood vessels and a rupture in Descemet's membrane. The clinical and histologic findings showed that autologous lamellar scleral grafts can be successfully used for the emergency treatment of corneal perforation when a corneal transplant is not available. The distinctive scleral structure revealed by histology and the inadequate graft transparency indicate that visual rehabilitation of eyes with a central corneal perforation can be achieved only by a subsequent optic penetrating keratoplasty.", publisher = "Consel Brasil Oftalmologia, Sao Paulo", journal = "Arquivos Brasileiros De Oftalmologia", title = "Treatment of perforated cornea with an autologous lamellar scleral graft: histologic findings", volume = "81", number = "1", pages = "59-62", doi = "10.5935/0004-2749.20180013" }
Jovanović, V., Jankov, M.,& Nikolić, L.. (2018). Treatment of perforated cornea with an autologous lamellar scleral graft: histologic findings. in Arquivos Brasileiros De Oftalmologia Consel Brasil Oftalmologia, Sao Paulo., 81(1), 59-62. https://doi.org/10.5935/0004-2749.20180013
Jovanović V, Jankov M, Nikolić L. Treatment of perforated cornea with an autologous lamellar scleral graft: histologic findings. in Arquivos Brasileiros De Oftalmologia. 2018;81(1):59-62. doi:10.5935/0004-2749.20180013 .
Jovanović, Vesna, Jankov, Mirko, Nikolić, Ljubisa, "Treatment of perforated cornea with an autologous lamellar scleral graft: histologic findings" in Arquivos Brasileiros De Oftalmologia, 81, no. 1 (2018):59-62, https://doi.org/10.5935/0004-2749.20180013 . .