Cornea replaced by rigid gas permeable lens

Abstract

A 39-year-old African American woman presented to the University of North Carolina Kittner Eye Center with chronic blindness in her right eye. She had a history of traumatic corneal perforation in 2003, with repair performed elsewhere. On examination, a conformer was identified and removed, for the first time since her operation 13 years before. No corneal tissue was present, and a rigid gas permeable contact lens held in place by a conjunctival autograft appeared to have been used to close the globe (A). Also of note were aphakia, chronic retinal detachment, absence of the iris, and posterior scleromalacia, some of which can be appreciated in the retroillumination image (B).