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- Title
Catastrophic Thermal Corneoscleral Injury Treated with Transplantation of Donor Scleral Graft.
- Authors
Kase, Satoru; Ohguchi, Takeshi; Ishida, Susumu
- Abstract
Background: The aim of this study is to report a patient with senile cataract developing severe thermal corneoscleral injury during phacoemulsification, which was treated with a donor scleral graft. Case: Severe thermal corneoscleral injury occurred during phacoemulsification in the right eye of a 74-year-old male. His medical history was prostate hypertrophy. Visual acuity was hand motion and the intraocular pressure was 3 mm Hg OD. There was heavy corneal stromal opacity with intraocular fluid leakage. The patient underwent transplantation of a donor scleral graft to the burn site. Histologically, the injured sclera showed coagulation necrosis without inflammatory cell infiltration. An intraocular lens was eventually fixed in the ciliary sulcus 7 months later. His visual acuity remains at 2/20 OD. Conclusions: Transplantation of the donor scleral grafts is useful to close the wound in catastrophic thermal injury.
- Subjects
PHACOEMULSIFICATION; HISTOPATHOLOGY; NECROSIS; THERAPEUTICS
- Publication
Case Reports in Ophthalmology, 2017, Vol 8, Issue 2, p349
- ISSN
1663-2699
- Publication type
Case Study
- DOI
10.1159/000477334