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Case Rep Ophthalmol Med. 2014;2014:351534. doi: 10.1155/2014/351534. Epub 2014 Jun 18.

Simplified technique for sealing corneal perforations using a fibrin glue-assisted amniotic membrane transplant-plug.

Case reports in ophthalmological medicine

Selcuk Kara, Sedat Arikan, Ismail Ersan, Arzu Taskiran Comez

Affiliations

  1. Department of Ophthalmology, Canakkale Onsekiz Mart University, School of Medicine, Canakkale, Turkey.

PMID: 25045563 PMCID: PMC4087251 DOI: 10.1155/2014/351534

Abstract

Purpose. To describe a surgical technique using amniotic membrane transplant (AMT) with fibrin glue (FG) for treating smaller corneal perforations more practically and appropriately filling the defect. Method. A patient with noninfectious central corneal perforation, in 1 mm in diameter, was treated with FG-assisted AMT-plug. An AMT was folded in on itself twice by using FG then a small piece of this FG-AMT mixture was cut to maintain an appropriate plug for the site of the corneal perforation. The FG-assisted AMT-plug was placed in the perforation area by using FG. An amniotic membrane patch was placed over the plug, which was then secured by a bandage contact lens. Result. Surgery to restore corneal stromal thickness without recurrence of perforation. Conclusion. The FG-assisted AMT-plug allowed a successful repair of 1 mm in diameter corneal perforation. This technique was easily performed, thus seeming to be a good alternative to treat corneal perforations with restoring corneal thickness.

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