Int Ophthalmol (2018) 38:1317–1324 https://doi.org/10.1007/s10792-017-0545-z CASE REP O RT Corneal melting in rheumatoid arthritis patients treated with a tectonic reinforcing corneolimbal graft: an interventional case series . . . . . Eitan Livny Michael Mimouni Irit Bahar Yair Molad Assaf Gershoni Israel Kremer Received: 30 March 2017 / Accepted: 17 April 2017 / Published online: 21 April 2017 Springer Science+Business Media Dordrecht 2017 Abstract included suturing of a 13.00- to 13.50-mm full-thick- Purpose Corneal melting with perforation is a severe ness fresh-tissue corneolimbal covering graft to the ophthalmic complication of autoimmune disorders patient’s posterior limbal zone. such as rheumatoid arthritis. It requires urgent medical Results The corneolimbal graft maintained the management in order to maintain the integrity of the integrity of the cornea in all cases, by sealing the globe and preserve vision. Treating this complication perforation and promoting the creation of a ﬁbrovas- by penetrating keratoplasty is problematic due to the cular scar at the area of corneal melting. There were no high rate of recurrence of corneal melting as well as complications, recurrences of host corneal melting, or other complications. We describe the use of a tectonic perforation during the follow-up period. fresh-tissue corneolimbal covering graft. Conclusion
International Ophthalmology – Springer Journals
Published: Apr 21, 2017
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