{
  "abstract": "Case A 56-year-old female presented with a 3-day history of pain, redness and reduced vision in her right (better) eye. Before being seen, whilst in the eye casualty, her cornea spontaneously perforated. The patient had a long past ocular history including ocular surface disease, floppy eyelids and lid surgery. She has also suffered previous herpetic, bacterial and fungal keratitis in her left eye, resulting in scarring, ectasia and poor vision. In addition, she suffers from health anxiety and panic attacks.Following the right corneal perforation, she had 2 gluing procedures, a mini-DSAEK combined with amniotic membrane patch graft (which failed), and subsequently a large tectonic graft. 9 days after the right tectonic graft, she presented with a 1-day history of pain and reduced vision in her left eye due to a mixed bacterial and fungal ulcer, which also perforated a few days later. The left eye then went on to have 3 gluing procedures followed by a large tectonic graft. This sequence of events and operations all occurred within a 2-month period.This case presented an array of challenges including clinical management of her eye disease, arranging a series of urgent operations, dealing with medication side effects, management of expectations and anxiety, and the impact on her life of major vision impairment. There are a range of learning points in this case, and treatment dilemmas that would be interesting to discuss at the Bowman club meeting.",
  "authors": [
    {
      "affiliations": [
        "Sunderland Eye Infirmary, Sunderland, UK"
      ],
      "name": "Oliver Baylis"
    }
  ],
  "title": "OP6 Case – not a good candidate for a corneal transplant",
  "uid": "ff16778b-6b05-59d2-813d-057b825405e9"
}