Background: The aim of this study is to report a patient with senile cataract developing severe thermal corneoscleral injury during phacoemulsification, which was treated with a donor scleral graft.Case: Severe thermal corneoscleral injury occurred during phacoemulsification in the right eye of a 74-year-old male.His medical history was prostate hypertrophy.Visual acuity was hand motion and the wall-e bearbrick intraocular pressure was 3 mm Hg OD.There was heavy corneal stromal opacity with intraocular fluid leakage.
The patient underwent transplantation of a donor scleral graft to the burn site.Histologically, the injured sclera showed coagulation necrosis without inflammatory cell infiltration.An intraocular lens was eventually fixed in the ciliary sulcus 7 months later.His visual royal blue iphone 14 case acuity remains at 2/20 OD.Conclusions: Transplantation of the donor scleral grafts is useful to close the wound in catastrophic thermal injury.