Posters

Repair of corneal button dehiscence with collapsed globe caused by blunt trauma

Poster Details

First Author: J.Teope PHILIPPINES

Co Author(s):    V. Caparas   A. Salud   K. Duyongco-Lenon   G. Alog           

Abstract Details

Purpose:

To report a case on corneal button dehiscence with collapsed globe after blunt trauma in a patient with Marfan Syndrome, who underwent lens exchange, pars plana vitrectomy with scleral buckling for dropped intraocular lens (IOL) and full-thickness penetrating keratoplasty for decompensated cornea, and to discuss its management and visual prognosis.

Setting:

Eye and Vision Institute, The Medical City, Ortigas Avenue, Pasig City, Metro Manila,    Philippines

Methods:

This is a case report. Literature search was primarily done using PubMed.

Results:

A 32-year-old Filipino female with Marfan Syndrome sustained corneal button dehiscence from 2-8 o’clock and collapsed globe after blunt trauma to the left eye. Vision post-injury was hand movement with fair light projection from logMAR 0.3. Dislocated IOL with missing haptic was removed. Corneal button dehiscence was sutured with nylon 10-0. Posterior segment examination revealed an attached retina with no retinal tears. Partial air-fluid exchange with injection of viscoelastic gel was done to form the globe. Two weeks post repair, best-corrected visual acuity was logMAR 0.5.

Conclusions:

The corneal graft-recipient interface is at risk for traumatic break. In this case report, its limited strength prevented posterior globe rupture.  Scleral buckling previously done helped prevent retinal detachments and tears.  With appropriate management, good visual outcome is attainable. Lens implant is considered to improve vision.

Financial Disclosure:

None