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Mechanism of fluid leak in non-traumatic corneal perforations: An anterior segment optical coherence tomography study

British Journal of Ophthalmology Dec 17, 2019

AlMaazmi A, et al. - Since non-traumatic corneal perforations (CPerfs) can present with shallow/flat or formed an anterior chamber (AC), researchers conducted this investigation to ascertain these differences using anterior segment optical coherence tomography (ASOCT). Participants in the study were 13 patients (14 eyes). Between January 2016 and July 2018, patients had high-resolution ASOCT scans at multiple time points, prior to and after cyanoacrylate glueing. According to results, all individuals had documented Seidel’s positive sign at the outset. ASOCT shows that leaking CPerfs can be indirect or direct. The former is related to a ‘formed’ AC and the latter with a very shallow/flat AC. Despite a continuous leak, the valvular nature of the communication in indirect perforations allows the AC to maintain its volume.
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