Anterior lens capsule: Biological drape

Abstract

Small perforations are often managed with cyanoacrylate glue - bandage contact lens (BCL). An additional layer with substances like sterile drape often enhances the strength of the glue. Herein, we describe a novel method of using anterior lens capsule as biological drape to secure perforation. The anterior capsule was secured from femtosecond laser–assisted cataract surgery (FLACS) and placed over the perforation after folding it twice. The area was dried and a small aliquot of cyanoacrylate glue was applied over it. The BCL was applied over it after the glue was dry. In our series of five patients, none of them needed repeat surgery and all cases healed by three months without vascularization. It is a unique technique to secure small corneal perforations.

Photocurable and Temperature‐Sensitive Bioadhesive Hydrogels for Sutureless Sealing of Full‐Thickness Corneal Wounds

“…Several adhesives, primarily developed as patches for placement only on the corneal surface, have been previously explored for sealing full‐thickness corneal wounds. [ 30 ] However, when sutures are used for corneal wound closure, they should penetrate to a depth of 75% to 90% of the stroma to prevent the potential occurrence of a posterior wound gape. [ 31 ] Consequently, adhesive patches carry a high incidence of posterior wound gape when utilized for sealing penetrating corneal incisions.…”