Corneal melting after avulsion of a Molteno shunt plate.
OBJECTIVE
We report a case of Molteno shunt avulsion after blunt trauma resulting in corneal melting. The implant's connecting tube had been placed above the superior rectus muscle.


METHODS
Case report.


RESULTS
After blunt trauma, the secondary plate of a double-plated Molteno implant became completely dislodged anteriorly onto the patient's cornea. The corneal tissue entrapped beneath the avulsed plate was found to have extensive melting requiring emergency explantation of the Molteno implant and corneal grafting.


CONCLUSIONS
Corneal melting after Molteno shunt avulsion is a novel finding. Placing a double-plated Molteno implant's connecting tube under the superior rectus muscle might decrease the risk of shunt avulsion after trauma.
Liu
S M
SM
Department of Ophthalmology, University of Maryland School of Medicine, Baltimore, USA.
Su
J
J
Hemady
R K
RK
D000328:Adult; D003315:Cornea / Q000601:surgery; D003316:Corneal Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D065306:Corneal Injuries; D016039:Corneal Transplantation; D005131:Eye Injuries / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000209:etiology*; D005901:Glaucoma / Q000601:surgery; D006801:Humans; D008297:Male; D018465:Molteno Implants; D014792:Visual Acuity; D014821:Vitrectomy; D014949:Wounds, Nonpenetrating / Q000209:etiology* / Q000473:pathology / Q000601:surgery