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OPHTHALMIC IMAGE
Year : 2023  |  Volume : 3  |  Issue : 1  |  Page : 233

The pseudophakic dam - nature's management of a corneal melt


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 Publication20-Jan-2023

Correspondence Address:
Karan Bhatia
Manaktala Eye and Maternity Home, 110 Arya Nagar, Sardhana Road, Kanker Khera, Meerut, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2100_22

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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

How to cite this URL:
Bhatia K, Manaktala R, Mishra D. The pseudophakic dam - nature's management of a corneal melt. Indian J Ophthalmol Case Rep [serial online] 2023 [cited 2023 Feb 7];3:233. Available from: https://www.ijoreports.in/text.asp?2023/3/1/233/368208



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.[1],[2],[3] 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.[1]
Figure 1: PMMA IOL plugging a central corneal melt

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There are no conflicts of interest.



 
  References Top

1.
Deshmukh R, Stevenson LJ, Vajpayee R. Management of corneal perforations: An update. Indian J Ophthalmol 2020;68:7-14.  Back to cited text no. 1
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2.
Jhanji V, Young AL, Mehta JS, Sharma N, Agarwal T, Vajpayee RB. Management of corneal perforation. Surv Ophthalmol 2011;56:522-38.  Back to cited text no. 2
    
3.
Stamate AC, Tătaru CP, Zemba M. Update on surgical management of corneal ulceration and perforation. Rom J Ophthalmol 2019;63:166-73.  Back to cited text no. 3
    


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