{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:01:47Z","timestamp":1788825707627,"version":"build-2803163510"},"reference-count":0,"publisher":"Press of International Journal of Ophthalmology (IJO Press)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Ophthalmol"],"published-print":{"date-parts":[[2023,9,18]]},"abstract":"<jats:p>AIM: To report the outcomes of three cases of corneal perforation managed with simultaneous tectonic Descemet stripping endothelial keratoplasty (t-DSEK) and tectonic Bowman layer transplant (t-BLT) as an alternative to tectonic penetrating keratoplasty (t-PKP).\nMETHODS: Three eyes of three patients receiving simultaneous t-DSEK and t-BLT for corneal perforation were included. The technique for DSEK was modified depending on individual requirements. The t-BLT technique was standardised using an 8 mm graft and fixated with a running suture. Success was measured by the ability of this procedure to close a corneal perforation.\nRESULTS: All three cases achieved tectonic eye globe restoration and remained stable during the minimum 3-month observation period. Reinterventions were relatively common: 2 cases required amniotic membrane transplant for persistent epithelial defects. One case required DSEK rebubbling. One case developed angle closure glaucoma requiring surgical peripheral iridectomy.\nCONCLUSION: Simultaneous t-DSEK and t-BLT may be a useful strategy for the management of corneal perforation as an alternative management to t-PKP for selected cases.<\/jats:p>","DOI":"10.18240\/ijo.2023.09.24","type":"journal-article","created":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T04:46:48Z","timestamp":1692679608000},"page":"1549-1554","source":"Crossref","is-referenced-by-count":3,"title":["Simultaneous tectonic Descemet stripping endothelial keratoplasty and tectonic Bowman layer transplant for the management of corneal perforation"],"prefix":"10.18240","volume":"16","author":[{"name":"Royal Gwent Hospital, Newport, Wales NP20 2UB, UK; Ophthalmology Department, Universidad Miguel Hern&#xE1;ndez, Alicante 03202, Spain; Ulster University, Northern Ireland, Belfast BT15 1ED, UK","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdo Karim","family":"Tourkmani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David F.","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Southampton General Hospital, Southampton SO16 6YD, England, UK","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge L.","family":"Alio del Barrio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Ophthalmology Department, Universidad Miguel Hern&#xE1;ndez, Alicante 03202, Spain; Cornea, Cataract &#x0026; Refractive Surgery Unit, Vissum (Miranza Group), Alicante 03106, Spain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge L.","family":"Ali\u00f3","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Ophthalmology Department, Universidad Miguel Hern&#xE1;ndez, Alicante 03202, Spain; Cornea, Cataract &#x0026; Refractive Surgery Unit, Vissum (Miranza Group), Alicante 03106, Spain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7543","container-title":["International Journal of Ophthalmology"],"original-title":[],"link":[{"URL":"http:\/\/ies.ijo.cn\/en_publish\/2023\/9\/20230924.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T04:47:21Z","timestamp":1692679641000},"score":1,"resource":{"primary":{"URL":"http:\/\/ies.ijo.cn\/gjyken\/ch\/reader\/view_abstract.aspx?file_no=20230924&flag=1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,18]]},"references-count":0,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9,18]]}},"URL":"https:\/\/doi.org\/10.18240\/ijo.2023.09.24","relation":{},"ISSN":["2222-3959","2227-4898"],"issn-type":[{"value":"2222-3959","type":"print"},{"value":"2227-4898","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,18]]}}}