Treatment of a Large Corneal Perforation With a Multilayer of Amniotic Membrane and TachoSil

Objective: To describe a novel surgical technique for the sealing of large corneal perforations. Method: Case report of a perforated, 3-mm, postherpetic, corneal ulcer. A single layer of amniotic membrane was sewn to the internal surface of the cornea. An absorbable fibrin sealant patch (TachoSil) was placed in the area of the perforation, and a folded double layer of amniotic membrane was finally sewn to the external face of the cornea. Result: Surgery without complications, leading to restoration of the anterior chamber and good subjective tolerance. Conclusion: The reported technique seems to represent a good alternative emergency procedure for the management of corneal perforations larger than 2 mm.