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Klin Monbl Augenheilkd 2017; 234(04): 448-450
DOI: 10.1055/s-0043-100637
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Georg Thieme Verlag KG Stuttgart · New York

Treatment of a Perforated Corneal Ulcer with Tectonic DSAEK: a Case Report

Behandlung eines perforierten Hornhautulkus mittels tektonischer DSAEK
M. Jesse
1   Vista Klinik, Binningen, Chairmen Dr. med. Theo Signer, Binningen, Switzerland
,
A. P. Lange
1   Vista Klinik, Binningen, Chairmen Dr. med. Theo Signer, Binningen, Switzerland
2   Lange Cornea, Zürich, Switzerland
› Author Affiliations
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Publication History

Publication Date:
10 March 2017 (online)

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Introduction

A perforated corneal ulcer poses a great challenge for the ophthalmologist in particular as emergency treatment is necessary in most cases to restore the ocular integrity and preserve visual function [1]. Furthermore, especially in inflamed corneal tissue, tectonic grafting will have a high complication rate [2] with melting host tissue and loosening of sutures. Additionally, follow-up care remains a challenge in geriatric patients living in rural areas. In order to avoid some of the problems to be expected by tectonic grafting, this case report shows that corneal perforations can also be sealed from the inside with a Descemetʼs Stripping Automated Endothelial Keratoplasty graft.

 

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