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首页> 外文期刊>Cornea >Management of nontraumatic corneal perforation with tectonic drape patch and cyanoacrylate glue.
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Management of nontraumatic corneal perforation with tectonic drape patch and cyanoacrylate glue.

机译：用构造悬垂性贴剂和氰基丙烯酸酯胶处理非创伤性角膜穿孔。

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摘要

PURPOSE: To report a case of nontraumatic corneal perforation managed with a tectonic drape patch. METHODS: Interventional case report. RESULTS: A 60-year-old patient with a corneal scar in his left eye likely secondary to herpes simplex virus interstitial keratitis underwent laser peripheral iridotomy for narrow angles. He developed progressive thinning of the cornea overlying the scar that led to a descemetocele and then ultimately a 1.2- x 1.7-mm perforation. Intraoperatively, several attempts were made to seal the perforation with cyanoacrylate glue, but the wound continued to leak. Sterile plastic drape that was on the surgical field was fashioned into a 2-mm-diameter patch, and the peripheral edge of the tectonic drape patch was glued over the perforation, successfully sealing the cornea. One week later, the drape patch was intact without leak, and a penetrating keratoplasty was carried out without complication. CONCLUSIONS: Tectonic drape patch technique for nontraumatic corneal perforations in which there is tissue loss is a viable temporizing option when cyanoacrylate glue alone fails and when there is no corneal tissue or amniotic membrane available to close the wound.
机译：目的：报告一例非手术性角膜穿孔，并通过构造悬垂性补丁治疗。方法：介入病例报告。结果：一名60岁患者左眼有角膜瘢痕，可能继发于单纯疱疹病毒间质性角膜炎，并进行了小角度激光外围虹膜切开术。他在角膜上逐渐形成了逐渐变薄的疤痕，从而导致了盲肠膨出，然后最终形成了1.2-x 1.7-mm的穿孔。术中曾尝试用氰基丙烯酸酯胶密封穿孔，但伤口继续漏出。将在外科手术场上的无菌塑料悬垂布制成直径为2毫米的贴片，并将构造悬垂盖布的周边粘贴在穿孔上，成功地密封了角膜。一周后，悬垂膜完整无渗漏，并且进行了穿透性角膜移植术而没有并发症。结论：当非氰基丙烯酸酯胶单独失效且没有角膜组织或羊膜可用于闭合伤口时，用于非创伤性​​角膜穿孔的构造悬垂膜修补技术是可行的临时选择。

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