J Korean Ophthalmol Soc > Volume 56(8); 2015 > Article
Journal of the Korean Ophthalmological Society 2015;56(8):1278-1283.
DOI: https://doi.org/10.3341/jkos.2015.56.8.1278    Published online August 15, 2015.
A Case of Tectonic Lamellar Corneal Patch Graft Using Acellular Cornea in Corneal Ulcer Perforation.
Jong Yeop Park, Eok Soo Suh
Department of Ophthalmology, Dongguk University Gyeongju Hospital, Dongguk University College of Medicine, Gyeongju, Korea. suksu@dongguk.ac.kr
각막궤양천공에서 무세포성 각막의 구조적 층판 Patch Graft를 이용한 치험 1예
동국대학교 의과대학 동국대학교경주병원 안과학교실
Received: 24 April 2015   • Revised: 1 May 2015   • Accepted: 1 July 2015
We report a case of tectonic lamellar corneal patch graft using acellular corneal tissue (Halo Sterile Cornea; Lions VisionGift, Portland, OR, USA) for treating a large corneal ulcer perforation CASE SUMMARY: A 72-year-old male previously treated for corneal ulcer was referred after presenting with decreased vision and abrupt tears in the right eye. His best-corrected visual acuity was 0.025 (20/800) and slit-lamp examination showed collapsed anterior chamber and 2 x 2 mm corneal perforation with protruded iris at the peripheral cornea. Infiltration in superficial stroma was observed near the perforation. Despite conjunctival flap, the cornea showed leakage due to perforation. To preserve ocular integrity, the patient underwent tectonic lamellar corneal patch graft using acellular corneal tissue. After surgery, the corneal patch graft was well attached. Re-epithelialization occurred after 3 days. There was no recurrence of perforation or corneal graft melting. Visual acuity improved to 0.32 (20/63) after 6 months. CONCLUSIONS: Tectonic lamellar corneal patch graft using acellular corneal tissue can be a useful treatment option in large corneal ulcer perforation located at the periphery.
Key Words: Acellular cornea;Corneal ulcer perforation;Patch graft

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