{
  "abstract": "A woman in her early 20s underwent bilateral photorefractive keratectomy (PRK) for correction of myopia. She developed bilateral central corneal melt 3 weeks post-operatively. There was no response to oral antivirals (for presumed necrotising stromal keratitis) and oral steroids (for presumed immune-mediated melt). She gradually developed pigmented corneal infiltrates and microbiology revealed a fungal infection. Despite intensive antifungal therapy, she developed corneal perforations. After applying tissue adhesive as a temporary measure, she was referred for further management. Bilateral Tenon’s patch grafts (TPG) were performed and the infection resolved with antifungal therapy. Three months later, her vision improved to 20/40, which was maintained even at the 1-year follow-up.Bilateral corneal melt following PRK is uncommon. A high index of suspicion is required to identify microbial keratitis as a potential cause, especially since sterile infiltrates are also known post-PRK. TPG serves as an effective option in such a situation.",
  "authors": [
    {
      "affiliations": [
        "Cornea and Anterior Segment Service, Shantilal Shanghvi Eye Institute, Mumbai, Maharashtra, India"
      ],
      "name": "Prajakta Dandekar"
    },
    {
      "affiliations": [
        "Ophthalmology, Fortis Hospital Mulund, Mumbai, Maharashtra, India"
      ],
      "name": "Suresh Palanisamy"
    },
    {
      "affiliations": [
        "Cataract and Refractive Service, Shantilal Shanghvi Eye Institute, Mumbai, Maharashtra, India"
      ],
      "name": "Maneck D Nicholson"
    },
    {
      "affiliations": [
        "Cornea and Anterior Segment Service, Shantilal Shanghvi Eye Institute, Mumbai, Maharashtra, India",
        "Shantilal Shanghvi Cornea Institute, LV Prasad Eye Institute, Hyderabad, Telangana, India"
      ],
      "name": "Somasheila I Murthy"
    }
  ],
  "title": "Bilateral corneal perforation following post-PRK fungal keratitis managed with tenons patch graft",
  "uid": "d3ce7dc8-f07f-528a-990e-f5b5165e17ae"
}