PMC5474288_01
Reconstruction of perforated HSK. Case number 4. A 75-year-old female patient presented with a nonhealing corneal ulcer in her right eye caused by HSK. A deep corneal ulcer with a small perforation was noticed (a). One month after UCP transplantation, the anterior chamber formed (b) although a slight anterior synechiae of the iris was detected by OCT (c, arrow). The stromal thickness at the perforation site seemed normal (c). The UCP was completely epithelialized (d). Case number 6. A 70-year-old man had a 2 x 2 mm perforated corneal ulcer (e) secondary to HSK. One month after UCP graft, the cornea was successfully reconstructed with a well-formed anterior chamber (f). The cornea stayed stable (g) with a negative fluorescent staining (h) at the eighth-month visit.
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fig3
A 70-year-old man with a 2 x 2 mm perforated corneal ulcer (Figure 3(e)) secondary to HSK received UCP graft. One month after surgery, the cornea was successfully reconstructed with a well-formed anterior chamber (Figure 3(f)). The cornea stayed stable (Figure 3(g)) with a negative fluorescent staining (Figure 3(h)) at the eighth postoperative month.
PMC5474288_02
Reconstruction of perforated HSK. Case number 4. A 75-year-old female patient presented with a nonhealing corneal ulcer in her right eye caused by HSK. A deep corneal ulcer with a small perforation was noticed (a). One month after UCP transplantation, the anterior chamber formed (b) although a slight anterior synechiae of the iris was detected by OCT (c, arrow). The stromal thickness at the perforation site seemed normal (c). The UCP was completely epithelialized (d). Case number 6. A 70-year-old man had a 2 x 2 mm perforated corneal ulcer (e) secondary to HSK. One month after UCP graft, the cornea was successfully reconstructed with a well-formed anterior chamber (f). The cornea stayed stable (g) with a negative fluorescent staining (h) at the eighth-month visit.
JOPH2017-2767053.003.jpg
PMC5474288_02_JOPH2017-2767053.003.jpg
fig3
A 70-year-old man with a 2 x 2 mm perforated corneal ulcer (Figure 3(e)) secondary to HSK received UCP graft. One month after surgery, the cornea was successfully reconstructed with a well-formed anterior chamber (Figure 3(f)). The cornea stayed stable (Figure 3(g)) with a negative fluorescent staining (Figure 3(h)) at the eighth postoperative month.
PMC5474288_03
Reconstruction of the perforated cornea with fungal keratitis. Case number 8. A 46-year-old man suffered from severe ocular rupture in a trauma. One month after the suture of cornea, fungal corneal ulcer was observed (a). The ulcer area was gradually decreased at day 2 (b) and day 4 (c) after antifungal treatment. However, the anterior chamber became shallower (a, b, c). After removing the necrotic tissue, perforations were noted (d, arrows). The anterior chamber formed at postoperative day 1 (e). The cornea was successfully reconstructed, and a stable ocular surface without inflammation was achieved at the seventh month (f).
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fig4
Slit lamp examination revealed a paracentral cornea ulcer, with 6 x 6 mm in diameter (Figure 4(a)). The corneal ulcer area was gradually decreased at day 2 (Figure 4(b)) and day 4 (Figure 4(c)) after antifungal treatments. However, the anterior chamber became shallower (Figures 4(a), 4(b), and 4(c)). After removing the necrotic tissue during surgery, perforations were noted (Figure 4(d), arrows). The anterior chamber formed at postoperative day 1 (Figure 4(e)). The cornea was successfully reconstructed, and a stable ocular surface without inflammation was achieved at the seventh month (Figure 4(f)). The BCVA improved from hand motion to 20/200 even with traumatic cataract (Figure 4(f)).