Abstract
One hundred four nontraumatic corneal perforations or descemetoceles in patients admitted to the Wilmer Institute from 1960 to 1980 were studied retrospectively, with follow-up data obtained from records or from referral physicians for 87 of these perforations. Forty-nine percent of the cases were caused by bacterial corneal ulcers, 13% by exposure, 12% by chemical burns, 6% by fungal keratitis, 5% by herpes simplex keratitis, and 15% were undiagnosed. Since the start of tissue adhesive use at the Wilmer Institute in 1974, there has been an apparent trend towards a lower enucleation rate (6%) in corneal perforations treated with tissue adhesive as compared to 19% in perforations treated by other therapies, although the cases may not be entirely comparable. An improved visual result of 20/200 or better was achieved in 29% of patients treated with tissue adhesive as compared to 19% with other treatments.
Original language | English (US) |
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Pages (from-to) | 630-635 |
Number of pages | 6 |
Journal | Ophthalmology |
Volume | 89 |
Issue number | 6 |
DOIs | |
State | Published - 1982 |
Externally published | Yes |
Keywords
- corneal perforation
- descemetocele
- enucleation
- tissue adhesive
ASJC Scopus subject areas
- Ophthalmology