الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 89 |  |  |
| | | from | 89 | | |
Abstract
Corneal perforation is one of the most devastating sight-threatening condition that
is faced in our daily practice, which may lead to various eye morbidities specially
endophthalmitis and panophthalmitis, so it needs an urgent intervention.
In practice there are many options, varying from: bandage contact lens, glue, AMT,
conjunctival flap to tectonic keratoplasty. Unfortunately, keratoplasty grafts shortage
leads us to search for other available alternatives, now femto SMILE laser had
introduced another new alternative which is femto lenticule.
Our prospective comparative study conducted in 45 eyes (of 45 patients) with
corneal perforation treated by AMT (30 cases) and lenticule (15 cases). The procedures
were conducted at the department of ophthalmology of the Menoufia university.
The mean size of corneal perforation was nearly equal in both groups, which
was 2.28 ± 0.33 in group 1 (range from 1.5 to 2.75 mm), while the mean size of
perforation in group 2 2.25 ± 0.39 (range from 1.5 – 3.0 mm).
Regarding best corrected visual acuity (BCVA) before and post surgical
procedures:
Before treatment with AMT, best-corrected visual acuity (BCVA) was counting
fingers (CF) in 7 patients (23.3%), hand motion (HM) in 10 patients (33.3%) and
perception of light (PL) in 13 patients (43.3%).
Before treatment with SMILE lenticule, best-corrected visual acuity (BCVA)
was /60 in 1 patient (6.7%), counting fingers (CF) in 5 patients (33.3%), hand motion
(HM) in 5 patients (33.3%) and perception of light (PL) in 4 patients (26.7%).
After 3 months of treatment with AMT, best-corrected visual acuity (BCVA)
was 1/60 in 3 patients (10.0%) counting fingers (CF) in 10 patients (33.3%), hand
motion (HM) in 6 patients (20.0%), perception of light (PL) in 11 patients (36.7%).