Panigrahi Suchitra, Mahapatra Bidisha, Baskey Swarnamayee
Department of Ophthalmology, Pandit Raghunath Murmu Medical College, Baripada, India.
GMS Ophthalmol Cases. 2023 Mar 1;13:Doc10. doi: 10.3205/oc000218. eCollection 2023.
To report a case of bilateral Mooren's ulcer with impending corneal perforation in the right eye and perforated peripheral corneal ulcer in the left eye which successfully underwent Tenon's patch graft (TPG) with multilayered amniotic membrane grafting (AMG) as globe salvaging procedure during COVID-19 pandemic.
Conjunctival resection was done on both the eyes followed by autologous Tenon's grafting with overlay amniotic membrane grafting in the left eye with perforation and multilayered AMG with AMG overlay in the right eye with impending perforation. Post-operatively topical antibiotics and steroids were prescribed.
At one month follow-up, the Tenon's graft and multilayered AMG were well-integrated with the surrounding healthy cornea with a good anatomical and visual outcome.
Autologous Tenon's patch graft is a simple and cost-effective alternative to preserve globe integrity and prevent complications in emergency cases when immediate access to cornea transplantation is practically challenging.
报告1例在新冠疫情期间成功接受带多层羊膜移植的眼球筋膜补片移植术（TPG）以挽救眼球的双侧蚕蚀性角膜溃疡病例，右眼即将发生角膜穿孔，左眼为周边角膜穿孔性溃疡。
对双眼行结膜切除术，左眼有穿孔，行自体眼球筋膜移植并覆盖羊膜移植；右眼即将穿孔，行多层羊膜移植并覆盖羊膜。术后给予局部抗生素和类固醇药物。
随访1个月时，眼球筋膜移植片和多层羊膜与周围健康角膜良好整合，取得了良好的解剖和视觉效果。
自体眼球筋膜补片移植是一种简单且经济有效的替代方法，在难以立即进行角膜移植的紧急情况下，可保持眼球完整性并预防并发症。
