A Case of Acquired Anterior Scleral Staphyloma and Corneal Perforation After Pars Plana Vitrectomy and Treatment with Amniotic Membrane

Abstract

This is a case report of a 26-year-old female patient who presented with poor vision due to a vitreous lens drop of her right eye. The patient underwent pars plana vitrectomy. However, scleral fixation was postponed due to corneal edema. She presented to the clinic 2 months later with complaints of eye pain. The patient was found to have a corneal perforation and iris prolapse. Emergency surgery was performed, and after the iris tissue were repositioned, the corneal defect was sutured and an amniotic membrane was transplanted onto the defect. The corneal defect healed, and the anterior staphyloma did not progress. The patient's underlying condition was suspected to be a congenital connective tissue disorder. Anterior staphyloma may develop after vitrectomy in patients with congenital tissue disease, and amniotic membrane closure may be preferred in these patients for better healing process.