Immediate Bilateral Sequential Keratoplasty in a 13‐Year‐Old Boy With Perforated Corneal Ulcer Secondary to Exposure Keratopathy
ABSTRACT To present the challenging scenario of a 13‐year‐old patient in the ICU with bilateral corneal perforations secondary to EK, who underwent immediate sequential bilateral penetrating keratoplasty. Furthermore, we explore the treatment outcomes of this approach. A 13‐year‐old boy presented wi...
| الحاوية / القاعدة: | Clinical Case Reports |
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| المؤلفون الرئيسيون: | , , , |
| التنسيق: | مقال |
| اللغة: | الإنجليزية |
| منشور في: |
Wiley
2025-10-01
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| الموضوعات: | |
| الوصول للمادة أونلاين: | https://doi.org/10.1002/ccr3.71273 |
| _version_ | 1848649904709173248 |
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| author | Javad Sadeghi Mohammadreza Sedaghat Mitra Karimi Amir Abadi Mehrdad Motamed Shariati |
| author_facet | Javad Sadeghi Mohammadreza Sedaghat Mitra Karimi Amir Abadi Mehrdad Motamed Shariati |
| author_sort | Javad Sadeghi |
| collection | DOAJ |
| container_title | Clinical Case Reports |
| description | ABSTRACT To present the challenging scenario of a 13‐year‐old patient in the ICU with bilateral corneal perforations secondary to EK, who underwent immediate sequential bilateral penetrating keratoplasty. Furthermore, we explore the treatment outcomes of this approach. A 13‐year‐old boy presented with decreased vision in both eyes. Upon ophthalmic examination, we identified bilateral perforated corneal ulcers with iris prolapse and a flat anterior chamber (AC). Due to the bilateral corneal perforations and the heightened risk of infectious endophthalmitis, immediate bilateral sequential penetrating keratoplasty (PKP) was carried out for the patient the day after presentation to our emergency room (ER). Over the 6‐month follow‐up period, no signs of graft rejection or infection were observed. This is the first reported case of immediate sequential bilateral PK. In emergent situations like bilateral corneal perforation, sequential bilateral surgery proves to be a reasonable and effective option. |
| format | Article |
| id | doaj-bd92672c7eb5477fac363d8a9d95add8 |
| institution | Directory of Open Access Journals |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-10-01 |
| publisher | Wiley |
| record_format | Article |
| spelling | doaj-bd92672c7eb5477fac363d8a9d95add82025-11-03T04:12:51ZengWileyClinical Case Reports2050-09042025-10-011310n/an/a10.1002/ccr3.71273Immediate Bilateral Sequential Keratoplasty in a 13‐Year‐Old Boy With Perforated Corneal Ulcer Secondary to Exposure KeratopathyJavad Sadeghi0Mohammadreza Sedaghat1Mitra Karimi Amir Abadi2Mehrdad Motamed Shariati3Eye Research Center Mashhad University of Medical Sciences Mashhad IranEye Research Center Mashhad University of Medical Sciences Mashhad IranEye Research Center Mashhad University of Medical Sciences Mashhad IranEye Research Center Mashhad University of Medical Sciences Mashhad IranABSTRACT To present the challenging scenario of a 13‐year‐old patient in the ICU with bilateral corneal perforations secondary to EK, who underwent immediate sequential bilateral penetrating keratoplasty. Furthermore, we explore the treatment outcomes of this approach. A 13‐year‐old boy presented with decreased vision in both eyes. Upon ophthalmic examination, we identified bilateral perforated corneal ulcers with iris prolapse and a flat anterior chamber (AC). Due to the bilateral corneal perforations and the heightened risk of infectious endophthalmitis, immediate bilateral sequential penetrating keratoplasty (PKP) was carried out for the patient the day after presentation to our emergency room (ER). Over the 6‐month follow‐up period, no signs of graft rejection or infection were observed. This is the first reported case of immediate sequential bilateral PK. In emergent situations like bilateral corneal perforation, sequential bilateral surgery proves to be a reasonable and effective option.https://doi.org/10.1002/ccr3.71273corneacorneal transplantationexposure keratopathyintensive care unitspenetrating keratoplasty |
| spellingShingle | Javad Sadeghi Mohammadreza Sedaghat Mitra Karimi Amir Abadi Mehrdad Motamed Shariati Immediate Bilateral Sequential Keratoplasty in a 13‐Year‐Old Boy With Perforated Corneal Ulcer Secondary to Exposure Keratopathy cornea corneal transplantation exposure keratopathy intensive care units penetrating keratoplasty |
| title | Immediate Bilateral Sequential Keratoplasty in a 13‐Year‐Old Boy With Perforated Corneal Ulcer Secondary to Exposure Keratopathy |
| title_full | Immediate Bilateral Sequential Keratoplasty in a 13‐Year‐Old Boy With Perforated Corneal Ulcer Secondary to Exposure Keratopathy |
| title_fullStr | Immediate Bilateral Sequential Keratoplasty in a 13‐Year‐Old Boy With Perforated Corneal Ulcer Secondary to Exposure Keratopathy |
| title_full_unstemmed | Immediate Bilateral Sequential Keratoplasty in a 13‐Year‐Old Boy With Perforated Corneal Ulcer Secondary to Exposure Keratopathy |
| title_short | Immediate Bilateral Sequential Keratoplasty in a 13‐Year‐Old Boy With Perforated Corneal Ulcer Secondary to Exposure Keratopathy |
| title_sort | immediate bilateral sequential keratoplasty in a 13 year old boy with perforated corneal ulcer secondary to exposure keratopathy |
| topic | cornea corneal transplantation exposure keratopathy intensive care units penetrating keratoplasty |
| url | https://doi.org/10.1002/ccr3.71273 |
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