Amniotic membrane transplantation in a patient with impending perforated corneal ulcer caused by Streptococcus mitis: A case report and review of literature

Figure 1 External eye photograph of the cornea before and after treatment. A: At the initial ocular examination, a 3 mm × 2 mm central epithelial defect with stromal infiltration and a 1 mm × 1 mm inferonasal paracentral descemetocele were observed; B: After the continuous administration of topical vancomycin and ceftriaxone for 2 wk, the descemetocele gradually decreased to 0.8 mm × 0.8 mm, and the hypopyon resolved; C: After manual superficial keratectomy combined with amniotic membrane transplantation (AMT), the descemetocele was successfully repaired with smooth epithelialization; D: During the postoperative follow-up, the AM remained in situ without further epithelial defects or leakage at 9 mo.