Management of perforated corneal ulcer with iris prolapse by cyanoacrylate glue: A case report

Bangabandhu Sheikh Mujib Medical University Journal Pub Date : 2023-04-18 DOI:10.3329/bsmmuj.v16i1.65671

Mazharul Hoque Bhuiyan, Md Sharfuddin Ahmed, Rajashree Das, M. S. Rahman, Md Showkat Kabir, M. Hoque

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Abstract

We report a rare case of perforated corneal ulcer due to recurrent viral keratitis with stromal necrosis and iris prolapse. The patient was 75 years old farmer, normotensive, diabetic, and presented with complaints of pain, watering, photophobia, redness and dimness of vision in the left eye. The left eye's visual acuity was perception of light and projection of rays in all four quadrants. Slit lamp examination found swollen eyelids, matted eyelashes, congested conjunctiva, seidel test positive, an inferonasal corneal perforation, shallow anterior chamber, irregular pupil, and prolapse of the iris through the perforated cornea. The patient was diagnosed with a left-sided perforated corneal ulcer (recurrent viral keratitis with stromal necrotizing variety) having iris prolapse. The perforation was sealed by cyanoacrylate glue and a soft bandage contact lens. This improved the patient’s condition. Early medical and surgical interventions thus can save vision as well as the eyeball. Bangabandhu Sheikh Mujib Medical University Journal 2023;16(1): 66-69

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氰基丙烯酸酯胶治疗穿孔性角膜溃疡合并虹膜脱垂1例

我们报告了一例罕见的角膜溃疡穿孔病例，其原因是复发性病毒性角膜炎伴基质坏死和虹膜脱垂。患者是75岁的农民，血压正常，患有糖尿病，主诉疼痛、流泪、畏光、左眼发红和视力模糊。左眼的视力是对光线的感知和对四个象限光线的投射。裂隙灯检查发现眼睑肿胀、睫毛缠结、结膜充血、赛德尔测试呈阳性、结膜下角膜穿孔、前房浅、瞳孔不规则以及虹膜通过穿孔角膜脱垂。患者被诊断为左侧穿孔性角膜溃疡（复发性病毒性角膜炎伴基质坏死型），伴有虹膜脱垂。穿孔用氰基丙烯酸酯胶和软绷带隐形眼镜密封。这改善了病人的病情。因此，早期的医疗和手术干预可以挽救视力和眼球。Bangabandhu Sheikh Mujib医科大学学报2023；16（1）：66-69

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Bangabandhu Sheikh Mujib Medical University Journal

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12 weeks