Tectonic keratoplasty using femtosecond laser lenticule in pediatric patients with corneal perforation secondary to blepharokeratoconjunctivitis: a case report and literature review

Tectonic keratoplasty using femtosecond laser lenticule in pediatric patients with corneal perforation secondary to blepharokeratoconjunctivitis: a case report and literature review

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Blepharokeratoconjunctivitis secondary to ocular demodicosis in the pediatric population is often neglected and may result in a serious sight-threatening condition.In severe cases, it can lead to corneal perforation necessitating urgent corneal transplantation.However, the shortage and high cost of T-Shirt donor corneas is the foremost limitation of keratoplasty in developing countries.

Small-incision lenticule extraction is an advanced flapless femtosecond laser refractive procedure in which an intrastromal corneal lenticule is detached and removed to correct myopia and myopic astigmatism.We herein describe a technique in which lenticules are used for the management of corneal perforation secondary to Demodex -induced blepharokeratoconjunctivitis.The lenticule was sutured over the site of the perforated cornea using 10-0 interrupted nylon sutures.

The globe integrity was maintained with a good visual outcome.Thus, tectonic keratoplasty using small-incision lenticule extraction appears to be a safe, cost-effective, and reliable Carving Set alternative method for the management of corneal perforation secondary to blepharokeratoconjunctivitis.