case_images: PMC6925690_01
case_images: (a) Presence of stromal ring infiltrate with central cornea perforation and shallow anterior chamber. (b) Cornea patch graft applied. Post-surgery 4 months.
case_images: CRIOPM2019-6862487.001.jpg
case_images: PMC6925690_01_CRIOPM2019-6862487.001.jpg
case_images: fig1
case_images: Despite being treated with intensive antibiotics and lubricants, the cornea thinning progressed to cornea perforation with flat anterior chamber (AC) (Figure 1(a)). He was able to regain his vision to 6/9 with presence of stable cornea patch graft during last review (Figure 1(b)).
case_images: PMC6925690_02
case_images: (a) Peripheral cornea thinning from12 to 5 o'clock. (b) Post banana shaped corneal patch graft.
case_images: CRIOPM2019-6862487.002.jpg
case_images: PMC6925690_02_CRIOPM2019-6862487.002.jpg
case_images: fig2
case_images: There's adjacent cornea epithelial defect but no cornea perforation seen (Figure 2(a)). He underwent conjunctival resection and cryotherapy twice and amniotic membrane patch graft once before a banana shaped corneal lamellar patch graft was performed (Figure 2(b)).
case_images: PMC6925690_03
case_images: (a) Showing progression of cornea melt to 360 degrees. (b) Whole cornea patch graft.
case_images: CRIOPM2019-6862487.003.jpg
case_images: PMC6925690_03_CRIOPM2019-6862487.003.jpg
case_images: fig3
case_images: Despite this treatment, 3 months later, his eyes showed disease progression where there was continuous cornea melting to almost 360 degree (Figure 3(a)) for which he underwent conjunctival resection. However, the cornea keratolysis worsened and he was subjected to tectonic keratoplasty (cornea scleral patch graft) (Figure 3(b)).
case_images: PMC6925690_04
case_images: (a) Peripheral cornea melting on left eye. (b) Post banana shaped corneal patch graft on left eye.
case_images: CRIOPM2019-6862487.004.jpg
case_images: PMC6925690_04_CRIOPM2019-6862487.004.jpg
case_images: fig4
case_images: Peripheral edge of left cornea had slow leak but with deep anterior chamber (Figure 4(a)). He was scheduled for left eye cornea banana-shaped patch graft (Figure 4(b)).
case_images: PMC6925690_05
case_images: (a) Presence 2 area of scleral thinning at inferonasal quadrant. (b) Immediate post-operative scleral patch graft extending up to inferonasal limbal area. (c) Post-operative 5 months once the scleral melting has stabilized.
case_images: CRIOPM2019-6862487.005.jpg
case_images: PMC6925690_05_CRIOPM2019-6862487.005.jpg
case_images: fig5
case_images: Right eye examination showed two locations of scleral thinning with visible uveal tissue at inferonasal quadrant with adjacent cornea scarring (Figure 5(a)). She underwent cornea patch graft for the scleral thinning (Figure 5(b)). Subsequently, no further melting was noted after 5 months post-operative period (Figure 5(c)).
case_images: PMC6925690_06
case_images: (a) Presence of left eye inferonasal limbal dermoid. (b) Post limbal dermoid removal and corneoscleral graft, 2 weeks post operatively.
case_images: CRIOPM2019-6862487.006.jpg
case_images: PMC6925690_06_CRIOPM2019-6862487.006.jpg
case_images: fig6
case_images: A 15-year-old boy with congenital right eye temporal limbal dermoid (Figure 6(a)) was seen in eye clinic. He underwent excision of the limbal dermoid and corneal patch graft surgery (Figure 6(b)).