Open AccessManagement of corneal perforations: An update
Author(s) -
Rashmi Deshmukh,
Louis J Stevenson,
Rasik B Vajpayee
Publication year - 2020
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_1151_19
Subject(s) - medicine , visual rehabilitation , corneal perforation , perforation , etiology , corneal disease , complication , keratitis , intervention (counseling) , corneal transplantation , surgery , ophthalmology , intensive care medicine , transplantation , cornea , visual acuity , pathology , materials science , psychiatry , metallurgy , punching
Corneal perforation is a potentially devastating complication that can result from numerous conditions that precipitate corneal melting. It is associated with significant morbidity and prompt intervention is necessary to prevent further complications. Causes include microbial keratitis, ocular surface disease, and autoimmune disorders and trauma. Various management options have been described in the literature to facilitate visual rehabilitation. This rview discusses the treatment options that range from temporising measures such as corneal gluing through to corneal transplantation, with decision making guided by the location, size, and underlying aetiology of the perforation.