Scleral Patch Graft in Spontaneous and Traumatic Corneoscleral Perforations
Purpose: To study the efficacy of scleral patch graft in spontaneous and traumatic corneoscleral perforations.
Study Design: interventional case series.
Place and duration of study: Civil hospital Karachi, unit 2 of ophthalmology, from March 2017 till August 2017.
Material and Methods: Patients underwent scleral patch graft in spontaneous and traumatic corneoscleral perforations. Convenience sampling was used for patient sampling. Baseline demographic characteristics such as age, gender and clinical parameters were included. Visual acuity (pre- and postoperative), details of surgery, final outcome and the complications were noted. Statistical package for Social Sciences (SPSS) version 20 was used for data analysis.
Results: Fifteen eyes of 15 patients were studied with scleral patch grafting in spontaneous and traumatic corneoscleral perforations. Ten patients (66.7%) were male and five (33.3%) were females. Age ranged from 10 to 80 years. Surgery was done in seven (46.7%) right eyes and eight (53.3%) left eyes. In five eyes (33.3%), postoperative visual acuity remained unchanged. Stable ocular surface was observed in nine patients (60.0%) and improvement was observed in one eye (case 3). In 3 patients (case 1, 10 and 12) keratoplasty was advised and one patient (case 13) was advised Evisceration.
Conclusion: Preserved scleral graft in spontaneous and traumatic corneoscleral perforations gives both functional and structural stability to eyes.
Keyword: Scleral patch graft, Corneoscleral perforations, Visual acuity.