Abstract
AbstractPurpose: Intraoperative optical coherence tomography (iOCT) was initially used in vitreoretinal surgery. Nowadays, iOCT is also used in anterior segment surgery, providing increased precision and therefore more safety in complex anterior segment procedures, such as in corneal transplantation.Methods: Our case reports on a 50‐year‐old patient who suffered a spontaneous corneal perforation with secondary bleb formation on the ground of advanced pellucid marginal degeneration (PMD).Results: After initial repair with histoacryl glue, the corneal perforation was successfully managed by iOCT‐guided DSAEK tamponade. The secondary bleb resolved spontaneously.Conclusion: Intraoperative optical coherence tomography is a good additional tool in complex anterior segment surgery to reach a higher precision and to provide more safety.
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