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Review
. 2019 Apr-Jun;63(2):166-173.

Update on surgical management of corneal ulceration and perforation

Alina-Cristina Stamate  1   2 , Călin Petru Tătaru  1   3 , Mihail Zemba  1   4
Affiliations
Review

Update on surgical management of corneal ulceration and perforation

Alina-Cristina Stamate et al. Rom J Ophthalmol. 2019 Apr-Jun.

Abstract

Corneal ulcerations are a medical emergency, and in recalcitrant cases, leading to perforation, a surgical ophthalmological emergency. The urgency of the treatment is dictated by the necessity of preventing complications that can lead to serious ocular morbidities. Medical treatment represents the first therapeutic approach and is a defining step in the further management of a patient with corneal ulceration. Multiple surgical strategies are available, but the option depends on the etiology and parameters of the ulceration: size, depth, and location.

Keywords: amniotic membrane; conjunctival flap; corneal perforation; corneal ulceration; cross-linking; keratoplasty; tissue adhesives.

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Figures

Fig. 1
Fig. 1
Amniotic membrane transplantation for recurrent neurotrophic ulcer. A. initial aspect, B. a single layer of amniotic membrane sutured with 10-0 nylon interrupted sutures, C. final aspect
Fig. 2
Fig. 2
Peripheral corneal ulcer after pterygium excision. A. intraoperative aspect, B. pedicle conjunctival flap in situ
Fig. 3
Fig. 3
Central corneal perforation. A. initial aspect. B. aspect after emergency penetrating keratoplasty
See this image and copyright information in PMC

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