We present the use of a novel technique, an autologous partial thickness scleral patch graft, to reform the integrity of an eye with corneal perforation. Despite being first described early in the last century, and offering significant advantages over traditional surgical approaches, there have been no recent reports of its use.

Case report

A 42 year old man was referred with a traumatic peripheral corneal perforation, 1.5 mm in diameter. Attempts to seal the hole with cyanoacrylate glue failed and a definitive surgical procedure was required.

The patient was a lorry driver and could not return to work until vision in this eye had returned to at least 6/12. Traditional approaches of penetrating or lamellar keratoplasty …