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The management of corneal perforation can be difficult. We describe a novel technique to manage corneal perforation in brittle cornea syndrome (BCS).
A 14-year-old daughter of consanguineous Pakistani parents presented with a history of a bottle cap having struck her left eye. She had a history of multiple trauma to both eyes since childhood.
At presentation, there was limbus-to-limbus corneal perforation in the left eye. The right eye had a failed corneal graft (for extensive corneal opacities). An examination under general anaesthesia showed a collapsed left eye with rolled-in corneal edges, without any scleral injury. There was partial aniridia, aphakia and prolapsed vitreous, with no obvious retinal detachment. She was also noted to have hypermobility of …
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