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
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Péricarde
/
Rupture
/
Procédures de chirurgie ophtalmologique
/
Transplantation hétérologue
/
Brûlures chimiques
/
Humains
/
Mâle
/
Bovins
/
Indices de gravité des traumatismes
/
Brûlures oculaires
Type d'étude:
Étude observationnelle
/
Étude pronostique
langue:
Anglais
Texte intégral:
Indian J Ophthalmol
Année:
2008
Type:
Article
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