Surgical approach in corneal perforations and deep ulcers

Abstract

AbstractPurpose Outcomes of patch grafts in corneal perforations and deep ulcers.Methods For the study 184 patients (follow‐up at least 6 months) were qualified: 57men and 127 women, mean age 61,7,±19,1 years. 198 procedures (112 in corneal perforations and 86 in deep ulcers) were performed. We applied grafts with diameter from 2,5 to 5 mm with oversize of 0,5 – 1 mm. Visual outcomes and corneal surface stability were analysedResults In 175 eyes we achieved stabile corneal surface, 23 grafts were failed due to graft melting. Among 175 eyes improvement of VA was achieved in 89 eyes, 58 required further procedures of penetrating keratoplasty or cataract surgery. The best visual outcomes were achieved in peripheral ulcers or perforations, central changes usually required further management or were connected with poor prognosis for good vision. 28 eyes due to dry eye, no light localization or retinal detachment (3 eyes) were disqualified to other proceduresConclusion Patch grafts are useful to restore vision and maintain corneal integrity.