Post Traumatic Lamellar Corneal Laceration Repair Using Shaped SMILE Lenticule.
DOI:
https://doi.org/10.62856/djcro.v6.40Keywords:
Corneal laceration repair, SMILE lenticule, Traumatic corneal laceration, Epithelial ingrowth, Customised SMILE lenticuleAbstract
A 24-years-old male with seven years history of recurrent symptoms following a 6 mm curvilinear laceration in right eye, involving epithelial ingrowth and stromal scarring, underwent surgical repair. The laceration dimensions were measured using Anterior Segment Optical Coherance Tomogrpahy (AS-OCT), and a Small Incision Lenticule Extraction (SMILE) derived graft was fashioned to match the defect. After scar excision, the graft was secured with fibrin glue. Postoperatively, the laceration healed without complications, and visual acuity improved from 20/80 to 20/30 at six weeks, with a stable, well-epithelialized graft. This case highlights the potential of shaped SMILE lenticule grafts as a sutureless, effective treatment for challenging corneal lacerations unresponsive to conservative therapy.
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