Bovine pericardium in treating large corneal perforation secondary to alkali injury: a case report.
Indian J Ophthalmol
;
2008 Sep-Oct; 56(5): 429-30
Article
in English
| IMSEAR
| ID: sea-71339
ABSTRACT
To describe use of a locally processed bovine pericardium (BP) to cover a large central corneal perforation following alkali injury and discuss postoperative outcome. A 27-year-old Malay male patient presented two weeks after alkali splashed in his left eye while working. A clinical diagnosis of left central corneal ulcer with limbal ischemia following alkali injury with secondary infection was made. After failed medical therapy, we performed a Gunderson conjunctival flap under local anesthesia that retracted after one week and resulted in a large central corneal perforation with surrounding stromal thinning. The perforation was covered with a locally processed BP xenograft (Lyolemb) supplied by the National Tissue Bank, University Sains Malaysia. Nine months follow-up showed a well-taken graft without any exposure/dehiscence and minimal inflammation. Amniotic membrane transplantation when used as a patch graft needs an urgent tectonic graft to promote corneal stability in patients with severe corneal thinning. The use of processed BP can be a viable option in treating such cases.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Pericardium
/
Rupture
/
Ophthalmologic Surgical Procedures
/
Transplantation, Heterologous
/
Burns, Chemical
/
Humans
/
Male
/
Cattle
/
Trauma Severity Indices
/
Eye Burns
Type of study:
Observational study
/
Prognostic study
Language:
English
Journal:
Indian J Ophthalmol
Year:
2008
Type:
Article
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