Limbal advancement technique in managing acute or impending peripheral corneal perforations.

PURPOSE: To describe the outcomes of a novel technique for the repair of peripheral corneal perforations using autologous limbal tissue.

METHODS

Two patients with peripheral corneal perforations with contraindications to other corneal procedures underwent limbal advancements. This technique involves creating a pedicle of the limbus, sclera and conjunctiva to cover the perforation.

RESULTS

The tissue had optimal integration in both patients; no aqueous leaks or flat anterior chambers were noted. None of the patients had recurrence of perforation or ocular discomfort.

CONCLUSION

In conclusion, this technique is a cost-effective and straightforward alternative for the repair of impending acute peripheral perforations.