Treatment of a Large Corneal Perforation With a Multilayer of Amniotic Membrane and TachoSil

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Objective:To describe a novel surgical technique for the sealing of large corneal perforations.Method:Case report of a perforated, 3-mm, postherpetic, corneal ulcer. A single layer of amniotic membrane was sewn to the internal surface of the cornea. An absorbable fibrin sealant patch (TachoSil) was placed in the area of the perforation, and a folded double layer of amniotic membrane was finally sewn to the external face of the cornea.Result:Surgery without complications, leading to restoration of the anterior chamber and good subjective tolerance.Conclusion:The reported technique seems to represent a good alternative emergency procedure for the management of corneal perforations larger than 2 mm.

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