Tissue adhesives: new perspectives in corneal perforations

Area of Science:

• Ophthalmology
• Corneal Surgery

Background:

• Corneal perforations in extensive progressive corneal disease pose significant surgical challenges.
• Traditional management may involve risks during emergency procedures.

Observation:

• A technique utilizing tissue adhesive for corneal perforation closure and anterior chamber reformation was applied.
• This method was used prior to definitive procedures such as penetrating keratoplasty or conjunctival flap mobilization.

Findings:

• Six eyes were successfully treated using this tissue adhesive technique over one year.
• The procedure allowed for safe anterior chamber reformation under local anesthesia as an emergency measure.

Implications:

• This approach minimizes risks of intraocular content incarceration or injury during emergency management.
• It provides a safer, pain-free option for patients, facilitating subsequent definitive corneal surgery under retrobulbar anesthesia.