Full-thickness corneal suture analysis using anterior segment Ocular Coherence Tomography (AS-OCT)

Abstract Purpose: To evaluate the anatomic and visual outcomes of patients who underwent full-thickness corneal suture in penetrating ocular trauma. Methods: A retrospective observational study was conducted after analyzing the medical records of 7 patients who presented to the ohptalmology department of the Hospital Universitario San Ignacio, during January 2020 and December 2021, with diagnosis of penetrating ocular trauma requiring corneal suture with subsequent anterior segment ocular tomography (AS- OCT) at 2 weeks post-trauma. Results: In 2 of the 7 patients included in the cohort intraocular foreign body was found. The average age at presentation of the trauma was 47 years, with a higher rate (71.4%) in men. The average time between trauma and surgery was approximately 2.6 days. In 100% of the patients the corneal architecture was restored, defined by the adequate apposition of the corneal endothelium between both sides of the wound. Conclusions: The present study provides promising results regarding the use of full-thickness corneal suture in the context of penetrating ocular trauma. This intervention, employed at the 100% of the patients studied, adequately restores corneal architecture, positively impacting postoperative visual acuity.