%0 Journal Article
%T Perforaci車n corneal no traum芍tica est谷ril tratada con Tachosil  Sterile non-traumatic corneal perforation treated with Tachosil
%A R. Caˋones-Zafra
%A J. Ben赤tez-Herreros
%A K. Kubiak
%A M.A. Montes-Moll車n
%J Archivos de la Sociedad Espaˋola de Oftalmolog赤a
%D 2011
%I Scientific Electronic Library Online
%X Caso cl赤nico: Var車n de 83 a os que acude a urgencias por dolor ocular en ojo derecho y enrojecimiento. En la exploraci車n se objetiv車 una lesi車n perforante corneal central de 1mm de di芍metro sin proceso infeccioso o inflamatorio concomitante ni antecedentes traum芍ticos. Procedimos al cierre urgente del defecto, aplicando un parche de Tachosil  sobre la zona perforada. Tras 36 horas de oclusi車n un material fibrinoide oclu赤a la perforaci車n cerrando el defecto. En el posterior seguimiento no se presentaron recurrencias ni efectos adversos persistiendo el sellado completo del defecto. Conclusiones: Tachosil  es una esponja col芍gena de fibrin車geno y trombina humanos utilizada para favorecer la hemostasia y la reparaci車n tisular en cirug赤as card赤acas, urol車gicas y neuroquir迆rgicas. Presentamos la primera indicaci車n oftalmol車gica de Tachosil  como una posible alternativa efectiva y de f芍cil uso en las perforaciones corneales no traum芍ticas est谷riles menores de 1,5mm. Case report: An 83 year-old male reported to the emergency room with red eye and ocular pain. The slit-lamp examination showed a central corneal perforation of 1mm in diameter, with no associated infection or inflammatory process. The patient had no history of trauma. It was decided to apply a patch of Tachosil  at the site of corneal perforation. After 36 hours of occlusion, a layer of fibrin covered the perforation, closing the defect. Successful healing of the corneal perforation was observed in the follow-up, with no recurrences of the process. Conclusions: Tachosil  is collagen sponge with human fibrin and human thrombin used in cardiological and neurosurgical surgery for haemostasis and the occlusion of vessels and meninges. We present the first indication in ophthalmology of Tachosil  as an effective alternative in the treatment of sterile non-traumatic corneal perforations less than 1.5mm in size.
%K Perforaci車n corneal no traum芍tica
%K Tachosil
%K Adhesivos de superficie ocular
%K Membrana amni車tica
%K Non-traumatic corneal perforations
%K Tachosil
%K Ocular surface adhesives
%K Amniotic membrane
%U http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0365-66912011000800006