|Year : 2023 | Volume
| Issue : 1 | Page : 233
The pseudophakic dam - nature's management of a corneal melt
Karan Bhatia1, Ruchita Manaktala1, Deepak Mishra2
1 Department of Ophthalmology, Manaktala Eye and Maternity Home, Meerut, Uttar Pradesh, India
2 Regional Institute of Ophthalmology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
|Date of Web Publication||20-Jan-2023|
Manaktala Eye and Maternity Home, 110 Arya Nagar, Sardhana Road, Kanker Khera, Meerut, Uttar Pradesh
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Bhatia K, Manaktala R, Mishra D. The pseudophakic dam - nature's management of a corneal melt. Indian J Ophthalmol Case Rep 2023;3:233
Corneal perforation/melt is an ocular emergency and requires urgent intervention. Management options include the use of tissue adhesives (cyanoacrylate/fibrin glue), Tenon's patch graft, amniotic membrane graft, and keratoplasty.,, A middle-aged man presented with visual acuity of perception of light (PL), projection of rays (PR) accurate in his left eye with a history suggestive of a corneal ulcer for 3 months and was being medically managed elsewhere. On examination, he had a central corneal melt of 5.5 × 5.0 mm, which was plugged by a polymethylmethacrylate (PMMA) intraocular lens (IOL). There was corneal infiltration behind and around the area of the melt with superficial vascularization [Figure 1]. Brightness scan ultrasonography (B-scan) was normal. Urgent intervention is required in corneal perforations to not only restore the globe integrity, but also to prevent secondary complications such as endophthalmitis, glaucoma, and choroidal hemorrhage.
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