Sutureless patch graft for sterile corneal melts.
An innovative technique to seal large paracentral corneal melts is being presented. Two patients with sterile corneal melts sized 3-5 mm in diameter were treated with a full-thickness patch graft punched using a dermatological trephine and secured with the fibrin-aprotinin biological tissue adhesive, supplanting the need for sutures. The defect was adequately sealed, and successful tectonic support with postoperative best-corrected visual acuity of 6/24 was achieved in both cases, circumventing the need for an emergency full-thickness penetrating keratoplasty.
Gupta
Noopur
N
All India Institute of Medical Sciences, New Delhi, Delhi, India.
Sachdev
Ritika
R
Tandon
Radhika
R
D007611:Aprotinin / Q000627:therapeutic use; D057112:Corneal Perforation / Q000601:surgery*; D016039:Corneal Transplantation / Q000379:methods*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014019:Tissue Donors; D014792:Visual Acuity / Q000502:physiology
D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives; D007611:Aprotinin