Background: The treatment of corneal perforations due to corneal ulceration is a serious challenge in countries where there are no eye banks. The author presents an original surgical procedure for treating these cases: lamellar autografting.

Methods: The corneal transplant was taken at 12 h; size was 2 to 4 mm and thickness 2/3 of the stroma. Twelve patients were treated.

Results: The results are satisfactory and the grafting successful; no complication of significant importance has been noted.

Conclusion: Lamellar autografting is an effective method for treating small corneal perforations. It can be temporary in case of central localization, or permanent in case of paracentral perforation.

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