Corneal Perforation Self-Healing with an Iris Plug in the Cornea

Liene Muceniece; Inesa Markevica; Guna Laganovska

doi:10.1159/000508816

Corneal Perforation Self-Healing with an Iris Plug in the Cornea

Case Rep Ophthalmol. 2020 Jul 13;11(2):330-335. doi: 10.1159/000508816. eCollection 2020 May-Aug.

Authors

Liene Muceniece^{1

2}, Inesa Markevica¹, Guna Laganovska^{1

2}

Affiliations

¹ Ophthalmology Department, Pauls Stradins Clinical University Hospital, Riga, Latvia.
² Department of Ophthalmology, Riga Stradins University, Riga, Latvia.

Abstract

Keratitis treatment outcome is usually dependent on the targeted treatment of the cause. We want to present a small corneal ulcer of unidentified origin that progressed into corneal melting and resulted in corneal perforation. The patient had a widespread antibacterial and fungal treatment and an ophthalmological follow-up with slit-lamp examination and AS-OCT. The spontaneous iris plug in the cornea helped to solve the anterior chamber collapse and made permanent anatomical changes in the anterior part. A 45-week follow-up found a hyperdense stromal corneal scar with 556-µm-wide stable iris-cornea contact and BCVA of 0.8. As a result, an iris plug in the cornea after corneal perforation can have a positive effect on healing and lead to good visual outcome.

Keywords: AS-OCT; Corneal ulcer; Iris plug.

Publication types

Case Reports