scholarly journals Paecilomyces keratitis with corneal perforation salvaged by a conjunctival flap and delayed keratoplasty.

1994 ◽  
Vol 78 (2) ◽  
pp. 157-158 ◽  
Author(s):  
S Mizunoya ◽  
Y Watanabe
Keyword(s):  
Corneal Perforation ◽  
Conjunctival Flap

scholarly journals Modified conjunctival flap as a primary procedure for nontraumatic acute corneal perforation

2018 ◽  
Vol 30 (1) ◽  
pp. 24
Author(s):  
Yi-Chen Sun ◽  
JasonP Kam ◽  
TuengT Shen
Keyword(s):  
Corneal Perforation ◽  
Conjunctival Flap ◽  
Primary Procedure

scholarly journals Bilateral corneal perforation following the use of traditional herbal medicine treated with conjunctival flap

2014 ◽  
Vol 6 (2) ◽  
pp. 237-239
Author(s):  
Varanisese Naviri ◽  
Roger Dethlefs
Keyword(s):  
Herbal Medicine ◽  
Harmful Effect ◽  
Corneal Perforation ◽  
Full Thickness ◽  
Light Perception ◽  
Traditional Herbal Medicine ◽  
Conjunctival Flap ◽  
The Right ◽  
Corneal Melting ◽  
Iris Prolapse

Introduction: The harmful effect of the herbal medicine to the eye has not been well reported in the literature.Objective: To report a case of bilateral corneal perforation following the use of traditional herbal medicine treated with conjunctival flap.Case: A 46-year-old Fijian man initially presented with bilateral conjunctivitis, which was thought to be an allergic response to the use of herbal medicine. Vision at initial presentation was normal and he was treated conservatively. Upon review a week later, his vision had decreased to light perception in both eyes. The examination revealed bilateral corneal perforation with iris prolapse, which was then treated with a full thickness conjunctival flap in both eyes in the same sitting. Upon review at 3 weeks of intervention, his vision had improved to hand motions in the right eye and 6/60 in the left. The anterior chamber was formed on both sides.  Conclusion: This case illustrates that the use of herbal medicine can cause corneal melting and subsequently perforations and this can be treated with a conjunctival flap.DOI: http://dx.doi.org/10.3126/nepjoph.v6i2.11716Nepal J Ophthalmol 2014; 6(12): 237-239 

scholarly journals Allogeneic sclera graft combined autologous conjunctival flap for repairing the emergent corneal perforation

2018 ◽  
Vol 2 ◽  
pp. 66-66
Author(s):  
Shuangyong Wang ◽  
Ying Tian ◽  
Haifeng Zhu ◽  
Yan Cheng ◽  
Jie Wu
Keyword(s):  
Corneal Perforation ◽  
Conjunctival Flap

scholarly journals Sympathetic ophthalmia following a conjunctival flap procedure for corneal perforation

2016 ◽  
pp. bcr2016214344 ◽  
Author(s):  
Koushik Tripathy ◽  
Kanhaiya Mittal ◽  
Rohan Chawla
Keyword(s):  
Sympathetic Ophthalmia ◽  
Corneal Perforation ◽  
Conjunctival Flap ◽  
Flap Procedure

Surgical Management for Glaucoma

Glaucoma ◽  
2012 ◽  
Author(s):  
Mohammed Kamal ElMallah
Keyword(s):  
Local Anesthesia ◽  
Patient Characteristics ◽  
Glaucoma Drainage Device ◽  
Adjacent Area ◽  
Corneal Perforation ◽  
Current Form ◽  
Conjunctival Flap ◽  
Subconjunctival Space ◽  
Traction Suture ◽  
Good Exposure

•The most commonly performed incisional procedures for glaucoma are trabeculectomy and glaucoma tube shunts (glaucoma drainage device [GDD]). Trabeculectomy is the more prevalent surgical procedure, yet the use of GDD is increasing. Although practice patterns may change with the results of the Tube vs. Trabeculectomy Study, for most surgeons trabeculectomy remains their primary procedure. • A GDD is typically indicated when a trabeculectomy is judged likely to fail •Trabeculectomy in its current form was described by Cairns in 1968. •The basic concept is to create an alternate path for aqueous egress out of the eye into the subconjunctival space. •General anesthesia is indicated in pediatric patients as well as adults not able to cooperate during surgery. Local anesthesia with monitored anesthesia care (MAC) is used in the vast majority of adults. Methods of local anesthesia vary based on surgeon preference as well as patient characteristics. See Table 12.2 for common routes of anesthetic administration. A traction suture allows manipulation of the globe to provide adequate surgical exposure, which is essential for successful filtering surgery. •Superior rectus bridle suture provides good exposure but has been associated with worse outcomes, produces holes in the conjunctiva that could potentially leak, may increase conjunctival scarring, and carries a small risk of scleral perforation. •Superior corneal traction suture (Fig. 12.1A) provides good exposure but may interfere with wound closure in a fornix-based incision and carries a risk of corneal perforation. •Clinical Pearl: If a corneal perforation occurs, remove the suture and pass it in an adjacent area of cornea. Usually there is no leakage once the suture is removed. If leakage is present, the surgeon can hydrate the suture track. •Inferior corneal traction suture provides less exposure than superior sutures. There is less risk of wound superior distortion, so it may be useful for fornix-based incisions. Can be placed either at the limbus (fornix-based conjunctival flap) or in the fornix, 10 mm back from the limus (limbal-based conjunctival flap).

A Case of Conjunctival Autotransplantation Using Conjunctival Flap of Pterygium in Treating Corneal Ulcer Perforation

2008 ◽  
Vol 49 (12) ◽  
pp. 2006 ◽  
Author(s):  
Sang Moon Jeoung ◽  
Jae Seok Im ◽  
Dong Park
Keyword(s):  
Corneal Ulcer ◽  
Ulcer Perforation ◽  
Conjunctival Flap

Assessment of Commercial Off-the-Shelf Tissue Adhesives for Sealing Military-Relevant Corneal Perforation Injuries

2021 ◽  
Author(s):  
Eric J Snider ◽  
Lauren E Cornell ◽  
Brandon M Gross ◽  
David O Zamora ◽  
Emily N Boice
Keyword(s):  
Intraocular Pressure ◽  
High Speed ◽  
Anterior Segment ◽  
Ocular Tissue ◽  
Corneal Tissue ◽  
Corneal Perforation ◽  
Tissue Adhesives ◽  
Open Globe ◽  
Wide Range ◽  
Commercial Off The Shelf

ABSTRACT Introduction Open-globe ocular injuries have increased in frequency in recent combat operations due to increased use of explosive weaponry. Unfortunately, open-globe injuries have one of the worst visual outcomes for the injured warfighter, often resulting in permanent loss of vision. To improve visual recovery, injuries need to be stabilized quickly following trauma, in order to restore intraocular pressure and create a watertight seal. Here, we assess four off-the-shelf (OTS), commercially available tissue adhesives for their ability to seal military-relevant corneal perforation injuries (CPIs). Materials and Methods Adhesives were assessed using an anterior segment inflation platform and a previously developed high-speed benchtop corneal puncture model, to create injuries in porcine eyes. After injury, adhesives were applied and injury stabilization was assessed by measuring outflow rate, ocular compliance, and burst pressure, followed by histological analysis. Results Tegaderm dressings and Dermabond skin adhesive most successfully sealed injuries in preliminary testing. Across a range of injury sizes and shapes, Tegaderm performed well in smaller injury sizes, less than 2 mm in diameter, but inadequately sealed large or complex injuries. Dermabond created a watertight seal capable of maintaining ocular tissue at physiological intraocular pressure for almost all injury shapes and sizes. However, application of the adhesive was inconsistent. Histologically, after removal of the Dermabond skin adhesive, the corneal epithelium was removed and oftentimes the epithelium surface penetrated into the wound and was adhered to inner stromal tissue. Conclusions Dermabond can stabilize a wide range of CPIs; however, application is variable, which may adversely impact the corneal tissue. Without addressing these limitations, no OTS adhesive tested herein can be directly translated to CPIs. This highlights the need for development of a biomaterial product to stabilize these injuries without causing ocular damage upon removal, thus improving the poor vision prognosis for the injured warfighter.

Vitamin A deficiency-associated corneal perforation in a boy with autism spectrum disorder: A case report and review of the literature

Nutrition ◽  
2021 ◽  
pp. 111275
Author(s):  
Shunichi Adachi ◽  
Michiko Torio ◽  
Sayaka Okuzono ◽  
Yoshitomo Motomura ◽  
Yuko Ichimiya ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Case Report ◽  
Vitamin A ◽  
Vitamin A Deficiency ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Corneal Perforation ◽  
Review Of The Literature
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