Clinical Results of Penetrating Keratoplasty in Corneal Perforation.

Choi, Wong Chul; Chung, Sung Kun; Rhee, Sang Wook

Original Article

Journal of the Korean Ophthalmological Society 1993;34(1):13-18.
Published online January 1, 1993.

Clinical Results of Penetrating Keratoplasty in Corneal Perforation.

Wong Chul Choi, Sung Kun Chung, Sang Wook Rhee

Department of Ophthalmology, St. Mary's Hospital, Catholic University Medical College, Seoul, Korea.

각막이 천공된 상태에서 시행된 각막이식수술의 임상 성적

최웅철(Wong Chul Choi),정성근(Sung Kun Chung),이상욱(Sang Wook Rhee)

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.

Key Words: Corneal perforation;Therapeutic keratoplasty