Autologous platelet-rich plasma in the treatment of refractory corneal ulcers: A case report

Am J Ophthalmol Case Rep. 2020 Aug 21:20:100838. doi: 10.1016/j.ajoc.2020.100838. eCollection 2020 Dec.

Abstract

Purpose: To evaluate the efficacy of a low-cost preparation of platelet-rich plasma (PRP) eye drops in the treatment of persistent non-infectious corneal ulcer.

Observations: A 67-year-old female presented to our clinic with a wide corneal ulcer and severe paracentral corneal thinning refractory to medical therapy with antibiotics, lubricant and contact lens bandage. The patient received a novel preparation of PRP solution. After 15 days of therapy, we observed complete resolution of the corneal ulcer with regrowth of the epithelium and a reduction in corneal opacity.

Conclusion and importance: Although the low-cost PRP preparation gives a lower platelet concentration than standard procedures, our work shows this preparation to be effective in the treatment of refractory non-infectious corneal ulcer.

Keywords: Corneal ulcer; Platelet-rich plasma; Refractory ulcer.

Publication types

  • Case Reports