Differences in Surgical Management of Corneal Perforations, Measured over Six Years.
Purpose. To report the surgical approach, anatomical and functional results, and complications in the group of patients with corneal perforation.Materials and Methods. 247 eyes with corneal perforation were operated on between January 2010 and July 2016. The three surgical procedures, dependent on size and location of perforation, were performed: full-sized penetrating keratoplasty, corneoscleral patch graft, and anterior lamellar keratoplasty. The eyes underwent the minimum 6-month follow-up visit.Results. Between January 2010 and July 2016, 247 surgeries were performed: 116 penetrating keratoplasties, 117 corneoscleral patch grafts, and 14 anterior lamellar keratoplasties. More than one procedure was necessary in 32 eyes. Final improvement of the visual acuity, within a gain of 2 or more lines with the Snellen test, was achieved in 56 operated eyes. To achieve better final visual acuity, 75 eyes required successive surgical treatment. Complications of the surgery comprised persistent epithelial defect, glaucoma or ocular hypertension, corneal oedema, graft melting, loose corneal sutures, reinfection, anterior synechiae and fibrinoid membranes, and endophthalmitis. In 26 eyes, the treatment failure was reported.Conclusions. There is no one general-purpose surgical technique to treat corneal perforations. The complex nature of this pathology remains the individual, careful but also very distinct and multifactorial approach.
Department of Ophthalmology with Pediatric Unit, St. Barbara Hospital, Trauma Center, Medykow Square 1, 41200 Sosnowiec, Poland.
Katarzyna
K
Krysik
Department of Ophthalmology with Pediatric Unit, St. Barbara Hospital, Trauma Center, Medykow Square 1, 41200 Sosnowiec, Poland; Clinical Departament of Ophthalmology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, District Railway Hospital, Panewnicka 65 St., 40760 Katowice, Poland.
Dariusz
0000-0002-8768-1691
D
Dobrowolski
Department of Ophthalmology with Pediatric Unit, St. Barbara Hospital, Trauma Center, Medykow Square 1, 41200 Sosnowiec, Poland.
Anita
A
Lyssek-Boron
Clinical Departament of Ophthalmology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, District Railway Hospital, Panewnicka 65 St., 40760 Katowice, Poland.
Judyta
J
Jankowska-Szmul
Clinical Departament of Ophthalmology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, District Railway Hospital, Panewnicka 65 St., 40760 Katowice, Poland.
Edward A
EA
Wylegala