Dr. SUMANTA KUMAR BERA

Dr.Piyali Konar, Dr.RAMARGHYA KUSUM CHAKRABORTY, Dr.SUBHRATANU CHAKRABARTY

Abstract

Purpose:Thinning/perforation are the worst outcome in infected keratitis.Treatment of perforated corneal ulcer(PCU) mainly depends upon size of the perforation.<2mm can be managed with Cyanoacrylateglue(CG). >2mm mostly requires corneal patch grafts. Tenon’s patch graft(TPG) is a newer surgical management for the perforation upto 5mm. we had studied 5such patients where perforations has been managed by TPG +/- amniotic membrane grafting (AMG).

Method:5patients with infected corneal ulcer presented with either perforation/thinning,had been managed with TPG with overlay continuous suture/interrupted suture(CS/IS) along with CG/Fibrin glue(FG).

Result:Among the cases 2 were viral(VK)and 3 were fungal ketatitis.One of the VK had undergone TGP+AMG+FG, rest underwent TPG+CS/IS+CG. Followup period ranged from 2-6months.BCVA was in the range of 0.17 to +2.0. No evidence of recurrence was noted.

Conclusion:TPG +/- additional procedure can be an effective management protocol for PCU.