Publication Name	World Journal of Clinical Cases
Manuscript ID	121742
Country	Poland

Category	Ophthalmology
Manuscript Type	Case Report
Article Title	Eccentric semilunar penetrating keratoplasty for peripheral corneal perforation following chemical eye injury: A case report
Manuscript Source	Invited Manuscript
All Author List	Jan Bombuy Gimenez, Justyna Izdebska, Katarzyna Samelska and Jacek P Szaflik
Funding Agency and Grant Number
Corresponding Author	Justyna Izdebska, Associate Professor, MD, PhD, Department of Ophthalmology, Medical University of Warsaw, Józefa Sierakowskiego 13, Warsaw 03-709, Mazowieckie, Poland. justyna.izdebska@wum.edu.pl
Key Words	Corneal perforation; Eccentric penetrating keratoplasty; Semilunar corneal graft; Tectonic keratoplasty; Chemical eye injury; Ocular surface chemical injury
Core Tip	Eccentric semilunar penetrating keratoplasty represents a viable tissue-sparing surgical option for managing acute peripheral corneal perforations secondary to chemical injury. This approach preserves the healthy central optical zone, minimizes antigenic load, and reduces the risk of immunologic rejection compared to total penetrating keratoplasty, while achieving the primary goal of globe salvage. However, the procedure presents significant technical challenges, including severe hypotony, anterior chamber collapse, and iris incarceration, requiring manual recipient bed preparation and viscoelastic-assisted chamber reformation. This emergency tectonic strategy preserves the central corneal architecture, maintaining the option for future optical keratoplasty if visual rehabilitation remains insufficient.
Citation	Bombuy Gimenez J, Izdebska J, Samelska K, Szaflik JP. Eccentric semilunar penetrating keratoplasty for peripheral corneal perforation following chemical eye injury: A case report. World J Clin Cases 2026; In press

Received	2026-04-01 06:43
Peer-Review Started	2026-04-01 06:44
First Decision by Editorial Office Director	2026-04-27 10:20
Return for Revision	2026-04-27 10:20
Revised	2026-05-17 09:26
Publication Fee Transferred
Second Decision by Editor	2026-06-02 02:42
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-06-02 06:14
Articles in Press	2026-06-02 06:14
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2307-8960 (online)
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