DR. ARPITHA R
, Dr. RAJESH RAMANJULU, Dr. MAHESH P. SHANMUGAM, Dr. DIVYANSH MISHRA
Abstract
To evaluate the efficacy of gelatine foam as an alternative to scleral patch graft in cases with perforation of posterior sclera.
Methods-
In this case report, we report the case of a double intraocular metallic foreign body with scleral perforation noted post removal of second foreign body, managed with absorbable gelatine based foam to plug the defect as an alternative for scleral patch graft.
Results-
Gelatine foam was found to effectively plug the defect, with good anatomical and functional outcome.
Conclusion-
Usage of absorbable, readily available gelatine based foam was found to be as effective as sclera patch graft in plugging scleral defect, with advantages of not necessitating its removal. This would be of great use in places where the donor sclera is not readily available.


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