case_images: PMC11007568_01
case_images: Tube exposure associated with corneal melting and iris prolapse
case_images: RomJOphthalmol-68-60-g001.jpg
case_images: PMC11007568_01_RomJOphthalmol-68-60-g001.jpg
case_images: F1
case_images: A 60-year-old patient arrived at the emergency room with tube exposure combined with corneal melting and iris prolapse (Fig. 1).
case_images: Tube exposure with conjunctiva scarring and epithelization of the tube
case_images: RomJOphthalmol-68-60-g002.jpg
case_images: PMC11007568_01_RomJOphthalmol-68-60-g002.jpg
case_images: F2
case_images: The conjunctiva of the area was scarred and epithelization was noted surrounding the tube (Fig. 2).
case_images: A. Tube's new position 3 mm temporally to the previous entry point and 1.5 mm posterior to the limbus after conjunctival dissection; B. Limbal reconstruction with second alcohol preserved corneoscleral graft in specific orientation covering the protruding iris
case_images: RomJOphthalmol-68-60-g003.jpg
case_images: PMC11007568_01_RomJOphthalmol-68-60-g003.jpg
case_images: F3
case_images: The tube was repositioned 3 mm temporally to the initial site and 1.5 mm posterior to the limbus and was covered using alcohol-preserved scleral allograft, soaked in ceftriaxone solution before placement, to avoid future exposure (Fig. 3 A, B).
case_images: A. Corneal part of the second graft completely covers the melted cornea and prolapsed iris, secured in place by nylon 10-0 sutures, ensuring optimal stability and tissue integration; B. Grafts with specific orientation in their final position reinforcing the ophthalmic wall
case_images: RomJOphthalmol-68-60-g004.jpg
case_images: PMC11007568_01_RomJOphthalmol-68-60-g004.jpg
case_images: F4
case_images: The scleral part strengthening the underlying sclera using vicryl sutures restored the anatomy of the area and the limbus (Fig. 4 A, B).
case_images: Conjunctival closure for both grafts achieved through manipulation of the fornix conjunctiva to the designated area. Vicryl 8-0 sutures were used to secure the closure in a watertight manner, ensuring effective wound healing and protection
case_images: RomJOphthalmol-68-60-g005.jpg
case_images: PMC11007568_01_RomJOphthalmol-68-60-g005.jpg
case_images: F5