Corneal puncture wounds: characteristics of the course and surgical treatment

• Main Authors: P. V. Makarov, E. N. Verigo
• Format: Article
• Language: Russian
• Published: Real Time Ltd 2018-10-01
• Series: Российский офтальмологический журнал
• Subjects: колотая рана роговицы; осложнения; тактика лечения; corneal puncture wound; complication; treatment plan
• Online Access: https://roj.igb.ru/jour/article/view/81

A clinical case is presented of a patient with a corneal puncture wound. The clinical course and treatment tactics are discussed. 1.5 months after primary surgical care during which the wound was sutured, the damaged area of the cornea was covered by an amniotic membrane abd a soft contact lens, the patient developed sharp thinning of the forming scar, threatening perforation: this was caused by incomplete sealing of the wound in the anterior chamber area. The patient was re-hosipitalized and given an additional through-and-through suture; autologous blood was infused into the anterior chamber, which resulted in stromal defect elimination. In cases when punctured wounds with corneal tissue deficit are accompanied by lysis and stromal thinning, through-and-through suturing and infusion of autologous blood into the anterior chamber is the operation of choice // Russian Ophthalmological Journal, 2017; 1: 81-4. doi: 10.21516/2072-0076-2017-10-1-81-84.