A Case of Spontaneous Corneal Perforation Combined with Primary Pterygium.
10.3341/jkos.2017.58.6.740
- Author:
Sung Ha HWANG
1
;
Dong Hyun KIM
Author Information
1. Department of Ophthalmology, Gachon University Gil Medical Center, Incheon, Korea. amidfree@gilhospital.com
- Publication Type:Case Report
- Keywords:
Amniotic membrane transplantation;
Corneal perforation;
Pterygium
- MeSH:
Aged;
Amnion;
Aqueous Humor;
Corneal Perforation*;
Fibrin Tissue Adhesive;
Foreign Bodies;
Head;
Humans;
Intraocular Pressure;
Keratoplasty, Penetrating;
Male;
Pterygium*;
Recurrence;
Sensation;
Slit Lamp;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2017;58(6):740-744
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We report a case of spontaneous corneal perforation combined with primary pterygium. CASE SUMMARY: A 66-year-old male presented with a foreign body sensation in his right eye. He had no systemic or ocular inflammatory diseases. He had undergone penetrating keratoplasty following amniotic membrane transplantation for corneal perforation at 1 day after pterygium excision in his left eye. The uncorrected visual acuity (UCVA) and intraocular pressure (IOP) in his right eye were 0.8 and 2 mmHg, respectively. Active leakage of an aqueous humor on the head of the pterygium was found on slit lamp examination. With the impression of spontaneous corneal perforation combined with primary pterygium, emergent amniotic membrane transplantation was performed. Diffuse corneal thinning around the 2 mm-sized perforation site was found 3mm away from the limbus in the 5 o'clock after removing the pterygium. The perforation site was covered with amniotic membrane after applying fibrin glue. UCVA and IOP in his right eye were 1.0 and 9 mmHg, respectively, at postoperative 6 months. No definite recurrence of pterygium or additional corneal perforation was found. CONCLUSIONS: Spontaneous corneal perforation may be related to primary pterygium.
