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Cornea & External Diseases

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Surgery & Complications
Corneal perforation in a patient with severe dry eye syndrome secondary to rheumatoid disease was treated with cyanoacrylate tissue adhesive covered by a soft bandage contact lens.

  • Can be caused by:
    • Progressive corneal thinning due to ectatic degeneration, Terrien's degeneration, infections, or immune-related diseases such as in Mooren's ulcer and rheumatoid disease
    • Trauma
    • Iatrogenic during ocular surgery such as astigmatic or radial keratotomy
  • Management:
    • Careful examination of other ocular structures involvement in cases of trauma.
    • Prophylactic antibiotics.
    • Soft bandage contact lens may be used for small perforations.
    • Surgical management:
      • Wound suturing.
      • Cyanoacrylate tissue adhesive application, protected by a soft bandage contact lens.
      • Penetrating pr tectonic keratoplasty.


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