case_images: PMC10830136_01
case_images: Slit-lamp images. a Right eye paracentral corneal melting. b Left eye central corneal melting with infiltrated margins. c, d Fluorescein staining patterns in both the right and left eyes under spontaneous conditions.
case_images: cop-2024-0015-0001-536103_F01.jpg
case_images: PMC10830136_01_cop-2024-0015-0001-536103_F01.jpg
case_images: F1
case_images: Fluorescein staining indicated Oxford grade-III punctal epithelial erosions and reduced tear film break-up time, suggestive of keratoconjunctivitis sicca (Fig. 1).
case_images: Corneal OCT images. a Right eye central corneal stromal thinning, remaining 124 microns. b Left eye 286 microns central corneal perforation.
case_images: cop-2024-0015-0001-536103_F02.jpg
case_images: PMC10830136_01_cop-2024-0015-0001-536103_F02.jpg
case_images: F2
case_images: Corneal optical coherence tomography demonstrated severe stromal thinning of 124 mum in the right eye and a central corneal perforation of 286 mum in the left eye (Fig. 2).
case_images: Left eye surgical procedure. a Sutured partial scleral patch. b Gundersen conjunctival flap over the previous partial scleral patch.
case_images: cop-2024-0015-0001-536103_F03.jpg
case_images: PMC10830136_01_cop-2024-0015-0001-536103_F03.jpg
case_images: F3
case_images: In response to the left eye's condition, the patient was urgently hospitalized and underwent an autologous scleral patch procedure combined with a Gundersen conjunctival flap within the first 24 h (Fig. 3).