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| OPHTHALMIC IMAGE |
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| Year : 2023 | Volume
: 3
| Issue : 1 | Page : 233 |
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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 |
Correspondence Address:
Karan Bhatia
Manaktala Eye and Maternity Home, 110 Arya Nagar, Sardhana Road, Kanker Khera, Meerut, Uttar Pradesh
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_2100_22
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.[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]
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Deshmukh R, Stevenson LJ, Vajpayee R. Management of corneal perforations: An update. Indian J Ophthalmol 2020;68:7-14.  [ PUBMED] [Full text] |
| 2. | Jhanji V, Young AL, Mehta JS, Sharma N, Agarwal T, Vajpayee RB. Management of corneal perforation. Surv Ophthalmol 2011;56:522-38. |
| 3. | Stamate AC, Tătaru CP, Zemba M. Update on surgical management of corneal ulceration and perforation. Rom J Ophthalmol 2019;63:166-73. |
[Figure 1]
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