Limbal advancement technique in managing acute or impending peripheral corneal perforations

Ernesto Otero; Carolina Mercado

doi:10.1016/j.ajoc.2022.101722

Limbal advancement technique in managing acute or impending peripheral corneal perforations

Am J Ophthalmol Case Rep. 2022 Oct 15:28:101722. doi: 10.1016/j.ajoc.2022.101722. eCollection 2022 Dec.

Authors

Ernesto Otero¹, Carolina Mercado¹

Affiliation

¹ Escuela Superior de Oftalmología, Instituto Barraquer de América, Bogotá, Colombia.

Abstract

Purpose: To describe the outcomes of a novel technique for the repair of peripheral corneal perforations using autologous limbal tissue.

Methods: Two patients with peripheral corneal perforations with contraindications to other corneal procedures underwent limbal advancements. This technique involves creating a pedicle of the limbus, sclera and conjunctiva to cover the perforation.

Results: The tissue had optimal integration in both patients; no aqueous leaks or flat anterior chambers were noted. None of the patients had recurrence of perforation or ocular discomfort.

Conclusion: In conclusion, this technique is a cost-effective and straightforward alternative for the repair of impending acute peripheral perforations.

Keywords: Corneal perforation; Limbal advancement; Peripheral ulcerative keratitis; Surgical technique.