Corneal Perforation Self-Healing with an Iris Plug in the Cornea

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Date

2020-09-05

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Abstract

Keratitis treatment outcome is usually dependent on the targeted treatment of the cause. We want to present a small corneal ulcer of unidentified origin that progressed into corneal melting and resulted in corneal perforation. The patient had a widespread antibacterial and fungal treatment and an ophthalmological follow-up with slit-lamp examination and AS-OCT. The spontaneous iris plug in the cornea helped to solve the anterior chamber collapse and made permanent anatomical changes in the anterior part. A 45-week follow-up found a hyperdense stromal corneal scar with 556-μm-wide stable iris-cornea contact and BCVA of 0.8. As a result, an iris plug in the cornea after corneal perforation can have a positive effect on healing and lead to good visual outcome.

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Publisher Copyright: © 2020 The Author(s). Published by S. Karger AG, Basel. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.

Keywords

AS-OCT, Corneal ulcer, Iris plug, 3.2 Clinical medicine, 1.1. Scientific article indexed in Web of Science and/or Scopus database, Ophthalmology

Citation

Muceniece, L, Markevica, I & Laganovska, G 2020, 'Corneal Perforation Self-Healing with an Iris Plug in the Cornea', Case Reports in Ophthalmology, vol. 11, no. 2, pp. 330-335. https://doi.org/10.1159/000508816