A Novel Ab Interno Approach for Traumatic Posterior Globe Perforation: Sutureless Closure With a Single-Layer Human
Robert P VanHoy1, Samuel D Hobbs2, Jefferey C McCloud3
1Medicine, San Antonio Uniformed Services Health Education Consortium, San Antonio, USA.
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Intraocular foreign body (IOFB) injuries represent a severe and complex subset of open globe injuries (OGIs). Posterior globe perforations in these injuries present a great surgical challenge for retinal surgeons. Acquiring exposure while taking care not to injure vital structures makes these repairs extremely difficult. There are many ways to approach repair, none of which are straightforward or without consequence. This case report demonstrates a novel, simplified ab interno technique using a single-layer, sutureless human amniotic membrane (hAM) plug to achieve anatomical closure of a large posterior globe perforation following IOFB removal.
