Treatment of a large corneal perforation with a multilayer of amniotic membrane and TachoSil.

OBJECTIVE

To describe a novel surgical technique for the sealing of large corneal perforations.

METHOD

Case report of a perforated, 3-mm, postherpetic, corneal ulcer. A single layer of amniotic membrane was sewn to the internal surface of the cornea. An absorbable fibrin sealant patch (TachoSil) was placed in the area of the perforation, and a folded double layer of amniotic membrane was finally sewn to the external face of the cornea.

RESULT

Surgery without complications, leading to restoration of the anterior chamber and good subjective tolerance.

CONCLUSION

The reported technique seems to represent a good alternative emergency procedure for the management of corneal perforations larger than 2 mm.