{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:18:25Z","timestamp":1777580305021,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To present a case of simultaneous bilateral corneal perforation in a patient affected by Sj\u00f6gren syndrome (SjS) successfully managed with corneal transplantation on the left eye and placing an autologous corneal patch on the right eye.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Observations<\/jats:title>\n                    <jats:p>A 71-year-old woman with SjS presented at our attention complaining of pain, redness, and blurred vision in both eyes persisting for 4 days. Clinical and instrumental investigations led to the diagnosis of bilateral corneal perforation in the context of Sj\u00f6gren syndrome. Therapeutic contact lenses were initially placed, followed by surgical intervention using an autologous corneal patch for the right eye and a corneal transplant for the left eye. Postoperative recovery was successful, with stable corneal condition and normal intraocular pressure observed at 3 and 6-months follow-ups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and importance<\/jats:title>\n                    <jats:p>This case underscores the complexity of managing SjS-related ocular complications and propose the use of autologous corneal patches to minimize immune rejection risks in cases where corneal transplantation cannot be performed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721251340231","type":"journal-article","created":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T02:51:49Z","timestamp":1746586309000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Autologous corneal patch for simultaneous bilateral perforation in Sj\u00f6gren's syndrome. A case report"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1904-1262","authenticated-orcid":false,"given":"Giacomo","family":"Scotti","sequence":"first","affiliation":[{"name":"Section of Ophthalmology, Department of Basic Medical Science, Neuroscience and Sense Organs, University of Bari, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Cardascia","sequence":"additional","affiliation":[{"name":"Section of Ophthalmology, Department of Basic Medical Science, Neuroscience and Sense Organs, University of Bari, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Gabriella","family":"La Tegola","sequence":"additional","affiliation":[{"name":"Section of Ophthalmology, Department of Basic Medical Science, Neuroscience and Sense Organs, University of Bari, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8768-899X","authenticated-orcid":false,"given":"Giacomo","family":"Boscia","sequence":"additional","affiliation":[{"name":"Section of Ophthalmology, Department of Basic Medical Science, Neuroscience and Sense Organs, University of Bari, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Pomes","sequence":"additional","affiliation":[{"name":"Section of Ophthalmology, Department of Basic Medical Science, Neuroscience and Sense Organs, University of Bari, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Boscia","sequence":"additional","affiliation":[{"name":"Section of Ophthalmology, Department of Basic Medical Science, Neuroscience and Sense Organs, University of Bari, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Alessio","sequence":"additional","affiliation":[{"name":"Section of Ophthalmology, Department of Basic Medical Science, Neuroscience and Sense Organs, University of Bari, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.122037"},{"key":"e_1_3_3_3_2","volume-title":"StatPearls","author":"Carsons SE","unstructured":"Carsons SE, Patel BC. Sjogren Syndrome. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2025, pp.1\u20131. http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK431049\/ (accessed 15 July 2024)."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2019.10.004"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2019-216114"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-023-02494-z"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.4103\/IJO.IJO_2866_22"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2007.08.020"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(95)30999-2"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.22336\/rjo.2019.25"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(02)01558-0"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfo.2023.03.026"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.4103\/IJO.IJO_2826_22"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721251340231","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11206721251340231","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721251340231","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:41:19Z","timestamp":1777405279000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11206721251340231"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,6]]},"references-count":12,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1177\/11206721251340231"],"URL":"https:\/\/doi.org\/10.1177\/11206721251340231","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,6]]}}}