Autologous Corneal Patch on a Post-Traumatic Corneal Perforation

The surgical management of corneal perforations, particularly in pediatric cases, poses a complex challenge that involves treating the underlying condition and restoring corneal integrity while preserving optical clarity.This case report details the treatment of a 9-year-old child who experienced a corneal perforation due to a metallic foreign body impact.whichwas treated effectively using an autologous corneal patch technique.Surgical intervention included the removal of the foreign body and placement of the patch, which was secured with 10/0 monofilament sutures.Post-operative management featured antibiotics, atropine, dexamethasone eye drops, and artificial tears, resulting in an improvement of visual acuity to 10/10 after suture removal and sustained structural and functional integrity of the cornea.This case underscores the efficacy of autologous corneal patches in managing small, peripheral corneal perforations in children, offering a viable option that provides satisfactory anatomical and functional outcomes.