Tissue Adhesive + Bcl In Childrenwith Microbial Keratitis
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Presenting Author - Tanuj R. Sharma, Co Authors: Mayur R. Moreker, Ashwin B. Bafna, Dhyanesh K. Desai, Rashmikant C. Patel.
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Tissue Adhesive + Bcl In Childrenwith Microbial Keratitis
- 1. Tissue Adhesive + BCL in children with Microbial Keratitis Tanuj R. Sharma Mayur R. Moreker Ashwin B. Bafna Dhyanesh K. Desai Rashmikant C. Patel Taparia Institute of Ophthalmology Bombay Hospital Institute of Medical Sciences Dr. Tanuj R. Sharma Taparia Institute of Ophthalmology Bombay Hospital Institute of Medical Sciences , Mumbai.
- 2. Cyanoacrylate glue •Early application of cyanoacrylate glue with bandage contact lens is known to aid management of small corneal perforations, corneal melts and wound leaks. •It may also avoid the need for tectonic penetrating keratoplasty Vote BJ, Elder MJ. Cyanoacrylate glue for corneal perforations: a description of a surgical technique and a review of the literature Clin Experiment Ophthalmol. 2000 Dec;28(6):437-42. Dr. Tanuj R. Sharma Taparia Institute of Ophthalmology Bombay Hospital Institute of Medical Sciences , Mumbai.
- 3. •Cyanoacrylate glue prevents collagenase production thus preventing stromal melting. •Cyanoacrylate also have significant bacteriostatic activity against gram-positive organisms. Cyanoacrylate glue Vote BJ, Elder MJ. Cyanoacrylate glue for corneal perforations: a description of a surgical technique and a review of the literature Clin Experiment Ophthalmol. 2000 Dec;28(6):437-42. Dr. Tanuj R. Sharma Taparia Institute of Ophthalmology Bombay Hospital Institute of Medical Sciences , Mumbai.
- 4. Objective To report use of Cyanoacrylate Tissue Adhesive and Bandage Contact Lens (TA + BCL) for urgent tectonic support to avert therapeutic keratoplasty in children with microbial keratitis and imminent / apparent perforation Methods •Patient 1 (7 years) - Large perforated paracentral corneal infiltrate with endoexudates. •Patient 2 (10 years) - Paracentral corneal infiltrate with central descemetocoele, impending perforation. •Both underwent TA + BCL (AC Reformation in Patient 1) which averted therapeutic keratoplasty Dr. Tanuj R. Sharma Taparia Institute of Ophthalmology Bombay Hospital Institute of Medical Sciences , Mumbai.
- 5. Corneal Perforation Endoexudates Infiltrates Patient 1 - Presentation Culture: Fungus (Zygomycosis spp.)
- 6. Steps of Tissue Adhesive + Bandage Contact Lens Procedure PRE - PROCEDURE DRYING THE FIELD WITH SPONGE POST - PROCEDURE APPLICATION OF GLUE
- 7. Tissue Adhesive Bandage CL Day 1 post TA + BCL
- 8. Vascularized scar Visual axis 3 months post TA + BCL BCVA: 20/30
- 9. Impending Perforation Infiltrate Patient 2 - Presentation Smear: Gram Negative Bacilli Dr. Tanuj R. Sharma Taparia Institute of Ophthalmology Bombay Hospital Institute of Medical Sciences , Mumbai.
- 10. Tissue Adhesive Bandage CL Immediate Post TA + BCL Dr. Tanuj R. Sharma Taparia Institute of Ophthalmology Bombay Hospital Institute of Medical Sciences , Mumbai.
- 11. Vascularized scar Visual axis 2 months post TA + BCL BCVA: 20/60 Dr. Tanuj R. Sharma Taparia Institute of Ophthalmology Bombay Hospital Institute of Medical Sciences , Mumbai.
- 12. • Cyanoacrylate glue + Bandage Contact Lens offers urgent tectonic support and helps avert urgent therapeutic keratoplasty achieving excellent visual outcome in children with paracentral corneal infiltrates Conclusion Thank you Dr. Tanuj R. Sharma Taparia Institute of Ophthalmology Bombay Hospital Institute of Medical Sciences , Mumbai.