RESUMO
A 30-year-old man who had laser in situ keratomileusis (LASIK) for myopia 1 year earlier developed a corneal perforation in the left eye from a boa constrictor. The patient presented to the emergency room, and a small corneal perforation just outside the visual axis was diagnosed within the LASIK flap. Cyanoacrylate adhesive was used to close the corneal perforation. The patient went on to full visual recovery with an uncorrected visual acuity of 20/20. This is the first reported case of a penetrating corneal injury from a serpent in an eye that had LASIK. Cyanoacrylate may be used to repair small traumatic corneal perforations with a favorable visual outcome in eyes that have had LASIK.
Assuntos
Boidae , Lesões da Córnea , Cianoacrilatos/uso terapêutico , Ferimentos Oculares Penetrantes/tratamento farmacológico , Ceratomileuse Assistida por Excimer Laser In Situ , Mordeduras de Serpentes/complicações , Adesivos Teciduais/uso terapêutico , Adulto , Animais , Ferimentos Oculares Penetrantes/etiologia , Humanos , Masculino , Miopia/cirurgia , Ruptura , Retalhos CirúrgicosRESUMO
We describe the use of autologous allogeneic amniotic membrane in ocular surface reconstruction. A 28-year-old woman with cicatricial entropion from Stevens-Johnson syndrome had recurrent keratinization of the tarsal conjunctiva. Amniotic membrane from the patient's own conceptus was stored and successfully used in ocular surface reconstruction with improvement of ocular symptoms. Disease transmission is an important risk inherent in all human tissue transplantation. Use of carefully prepared autologous allogeneic amniotic membrane grafts should be considered in pregnant patients in need of ocular surface reconstruction.