CORNEAL MELTING AFTER AVULSION OF A MOLTENO SHUNT PLATE

Purpose: We report a case of Molteno shunt avulsion after blunt trauma resulting in corneal melting. The implant's connecting tube had been placed above the superior rectus muscle. Methods: Case report. Results : After blunt trauma, the secondary plate of a double-plated Molteno i mplant became completely dislodged anteriorly onto the patient's corne a, The corneal tissue entrapped beneath the avulsed plate was found to have extensive melting requiring emergency explantation of the Molten o implant and corneal grafting. Conclusions: Corneal melting after Mol teno shunt avulsion is a novel finding. Placing a double-plated Molten o implant's connecting tube under the superior rectus muscle might dec rease the risk of shunt avulsion after trauma.