J Korean Ophthalmol Soc.  1993 Jan;34(1):13-18.

Clinical Results of Penetrating Keratoplasty in Corneal Perforation

• Choi WC
• Chung SK
• Rhee SW

Abstract

Therapeutic keratoplasties for 7 patients (7 eyes) with the corneal perforation were performed at St. Mary's Hospital, Catholic University Medical College, from November 1988 to December 1991 for about 3 years. The causative diseases of corneal perforation were herpes simplex keratitis in 2 eyes (28.6%), corneal ulcers after trauma in 2 eyes (28.6%), and keratitis of unknown etiology in 3 eyes (42.9%). Postoperative complications were cataract (2 eyes; 28.6%), synechiaes(2 eyes; 28.6%), glaucoma (1 eye; 14.3%)' endophthalmitis (1 eye; 14.3%) and graft failure (1 eye; 14.3%). Among the 7 grafted corneas, clear corneas were noted in 2 eyes (28.6%), but opaque corneas developed in 4 eyes (57.1 %), and eVIsceration was performed in 1 eye (14.3%) due to endophthalmitis. After keratoplasty, the visual acuity was over 0.1 in lout of the 6 eyes. In the corneal perforation, it was good to delay keratoplasty until the intraocular inflammation was subsided, but we preferred to do the keratoplasty immediately for large perforation or removal of the causative disease.

Keyword

Corneal perforation; Therapeutic keratoplasty

MeSH Terms

Cataract
Cornea
Corneal Perforation*
Corneal Transplantation
Endophthalmitis
Glaucoma
Humans
Inflammation
Keratitis
Keratitis, Herpetic
Keratoplasty, Penetrating*
Postoperative Complications
Transplants
Ulcer
Visual Acuity