Traumatic Corneo-Limbal Defect closed with a Hinged Partial Thickness Scleral flap: A report of an Overlooked Option

Abstract

Corneal injury associated with loss of tissue is difficult to approximate without causing distortion of the corneal shape. Such injuries to the cornea requiring surgical closure, when not repaired early in the healing phase becomes challenging owing to tissue contracture. The resulting irregular astigmatism can decrease the quality of vision significantly. Donor cornea or scleral collagen tissue having close resemblance to corneal tissue acts as a good substitute to cover such defects. We report a six year old child with a corneal perforating injury managed surgically with a partial thickness autologous scleral flap, with an optimal anatomical, structural and visual outcome.

Keywords

• cornea
• defects
• grafts
• perforations
• trauma