DR. SHADMA EQBAL

Dr. RAKHI KUSUMESH

Abstract

Peripheral ulcerative keratitis is a form of unilateral crescent shaped stromal inflammation, which involves the juxtalimbal cornea and is characterized by sectoral thinning of the affected area. Progressive thinning may lead to corneal perforation.We present 2 cases of perforated PUK and 1 case of impending perforation in PUK.Two cases were diagnosed as RA factor positive and one was HLA B27 positive. Preoperatively,AC was collapsed and iris was prolapsed.Multilayered AMG was performed due to non-availability of donor fresh/glycerol preserved tissue.Postoperatively AC was formed and quiet.AMG was well placed.No progression of keratitis was found. AMG was found to be a safer method to restore ocular integrity in corneal perforation.

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