{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:08Z","timestamp":1756425728958,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,11,2]]},"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p>The case report describes a rare instance of a man in his 70s with periorbital necrotising fasciitis (NF) who underwent bilateral autologous penetrating keratoplasty. NF is an acute infection that can lead to severe complications, including vision loss. The patient presented with severe facial swelling and necrosis of the right eyelid, treated with surgical debridement and antibiotics. Post-surgery, he lost vision in the right eye due to compressive optic neuropathy and developed exposure keratopathy, which was managed with tarsorrhaphy. His left eye had poor vision due to herpetic corneal scarring. He met the criteria for a bilateral autologous keratoplasty, transferring his healthy right cornea to his otherwise healthy left eye and the damaged left cornea to the right eye. The surgery was successful, and at 9\u2009months post-operation, the patient achieved improved vision (6\/36) and is awaiting contact lens fitting. The report highlights the advantages and considerations of autokeratoplasty over conventional corneal transplants.<\/jats:p>","DOI":"10.1136\/bcr-2024-262741","type":"journal-article","created":{"date-parts":[[2024,11,24]],"date-time":"2024-11-24T13:05:17Z","timestamp":1732453517000},"page":"e262741","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral autologous penetrating keratoplasty following periorbital necrotising fasciitis"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1999-9562","authenticated-orcid":false,"given":"Attam","family":"Khan","sequence":"first","affiliation":[{"name":"Ophthalmology, Shrewsbury and Telford Hospital NHS Trust, Shrewsbury, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diya","family":"Baker","sequence":"additional","affiliation":[{"name":"Ophthalmology, Shrewsbury and Telford Hospital NHS Trust, Shrewsbury, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed","family":"Husain","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Jenyon","sequence":"additional","affiliation":[{"name":"Ophthalmology, Shrewsbury and Telford Hospital NHS Trust, Shrewsbury, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,11,24]]},"reference":[{"key":"2025082722032774000_17.11.e262741.1","doi-asserted-by":"crossref","first-page":"2086","DOI":"10.1007\/s11606-022-07484-7","article-title":"Periorbital Necrotizing Fasciitis","volume":"37","author":"Kakimoto","year":"2022","journal-title":"J Gen Intern Med"},{"key":"2025082722032774000_17.11.e262741.2","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1097\/ICO.0b013e31826dff17","article-title":"Endothelial graft failure after contralateral autologous corneal transplantation","volume":"32","author":"Martinez","year":"2013","journal-title":"Cornea"},{"key":"2025082722032774000_17.11.e262741.3","first-page":"259","article-title":"Rejection Prophylaxis in Corneal Transplant","volume":"115","author":"B\u00f6hringer","year":"2018","journal-title":"Dtsch Arztebl Int"},{"key":"2025082722032774000_17.11.e262741.4","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1097\/ICO.0000000000001020","article-title":"Contralateral Autologous Corneal Transplantation Experience in Mexico City","volume":"36","author":"Perez-Balbuena","year":"2017","journal-title":"Cornea"},{"key":"2025082722032774000_17.11.e262741.5","doi-asserted-by":"crossref","first-page":"1931","DOI":"10.1038\/eye.2008.386","article-title":"Ipsilateral rotational autokeratoplasty: a review","volume":"23","author":"Arnalich-Montiel","year":"2009","journal-title":"Eye (Lond)"},{"key":"2025082722032774000_17.11.e262741.6","doi-asserted-by":"publisher","DOI":"10.1177\/004947559302300410"},{"key":"2025082722032774000_17.11.e262741.7","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1159\/000531990","article-title":"Semi-Autologous Corneal Transplantation with Simultaneous Bilateral Surgery: A Case Report","volume":"14","author":"Kounatidou","year":"2023","journal-title":"Case Rep Ophthalmol"},{"key":"2025082722032774000_17.11.e262741.8","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2020-316289"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-262741","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:03:40Z","timestamp":1756357420000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-262741"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":8,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,11,24]]},"published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1136\/bcr-2024-262741"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-262741","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,11]]}}}