PMC3965954_01
The anterior segment of the eye 12 months after sclerokeratoplasty on 360 degrees: pre- and postoperative picture and the surgical technique. (a) Corneal perforation (b) inferiorly decentred penetrating keratoplasty; (c) extrusion of the gold weight from the right upper eyelid; (d) graft rejection; (e) sclerokeratectomy (preparation of the cornea); (f) sclerokeratectomy (graft adaptation); (g) anterior segment of the eye and pachymetry map 12 months after surgery; (h) donor graft fitting 12 months after surgery; (i) anterior segment of the eye 12 months after the surgery (OCT-Visante).
CRIOPM2014-467249.001.jpg
PMC3965954_01_CRIOPM2014-467249.001.jpg
fig1
The patient was discharged home on topical 0,5% levofloxacin and was followed-up in an outpatient clinic. 15 days after initial clinical improvement and partial removal of the tarsorrhaphy sutures the patient came to our emergency room with a corneal perforation in the right eye (Figure 1(a)). Urgent inferiorly decentred penetrating keratoplasty was performed (, Figure 1(b)) due to the size of the perforation, its localisation, and vascularisation of the lower limbus. A, mycophenolate mofetil, and prednisone) was administered. After 1 month, the gold weight was extruded from the scarred tissue of the right upper eyelid (Figure 1(c)). Graft rejection with scleral melt in the suture localisation occurred 3 months after the surgery (Figure 1(d)). The conjunctiva was reattached to the donor limbus (, Figures 1(e) and 1(f)). At a 12-month follow-up, the patient is doing well (Figures 1(g), 1(h), and 1(i)).