Customize your JAMA Network experience by selecting one or more topics from the list below.
A man in his early 50s with chronic left dacryocystitis presented with decreased vision in the left eye. On examination, his visual acuity was 20/200 OS. The patient had a corneal infiltrate with a central perforation that was leaking despite an iris plug (Figure). The perforation was managed with cyanoacrylate glue and intensive topical ofloxacin, 0.3%. Microbiology results confirmed Streptococcus constellatus as the causative organism. When the glue dislodged 4 months later, his visual acuity had improved to 20/25 and the perforation had healed. Optical coherence tomography (Visante; Zeiss) was useful in characterizing the degree of corneal thinning and the iris plug.
Iris plugging a corneal perforation. A, Slitlamp photography. B, Optical coherence tomography.
Corresponding Author: Elsie Chan, FRANZCO, Royal Victorian Eye and Ear Hospital, 32 Gisborne St, East Melbourne, Melbourne, VIC 3002 Australia (firstname.lastname@example.org).
Conflict of Interest Disclosures: Both authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.
Chan E, Ayres M. Corneal Perforation With Iris Plugging. JAMA Ophthalmol. Published online March 01, 2018136(3):e180081. doi:10.1001/jamaophthalmol.2018.0081
Browse and subscribe to JAMA Network podcasts!
Create a personal account or sign in to: