- 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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