Simplified Technique for Sealing Corneal Perforations Using a Fibrin Glue-Assisted Amniotic Membrane Transplant-Plug

Abstract EN

Purpose.

To describe a surgical technique using amniotic membrane transplant (AMT) with fibrin glue (FG) for treating smaller corneal perforations more practically and appropriately filling the defect.

Method.

A patient with noninfectious central corneal perforation, in 1 mm in diameter, was treated with FG-assisted AMT-plug.

An AMT was folded in on itself twice by using FG then a small piece of this FG-AMT mixture was cut to maintain an appropriate plug for the site of the corneal perforation.

The FG-assisted AMT-plug was placed in the perforation area by using FG.

An amniotic membrane patch was placed over the plug, which was then secured by a bandage contact lens.

Result.

Surgery to restore corneal stromal thickness without recurrence of perforation.

Conclusion.

The FG-assisted AMT-plug allowed a successful repair of 1 mm in diameter corneal perforation.

This technique was easily performed, thus seeming to be a good alternative to treat corneal perforations with restoring corneal thickness.