peripheral corneal perforation
Photo by Dr. Chieng Lee Ling
and Professor Chua Chung Nen
37 year-old man presented
with a sudden onset loss of right vision and red eye. Examination revealed
peripheral corneal ulceration with perforation resulting in iris prolapse.
The left cornea showed superior corneal infiltrates but without signs of
corneal thinning. He had no systemic medical illnesses of note and denied
any trauma. He was admitted to the ward and given regular topical ofloxacin,
oral ciprofloxacin and oral doxycycline. The left eye was treated with
topical steroid. An autoimmune screening was performed. The perforation was
tamponaded using a bandage contact lens. After two days, the anterior
chamber deepened spontaneously and the cornea became less cloudy. A
tectonic graft was
performed 7 days from the initial presentation.
Right superior peripheral corneal
perforation with iris prolapse at presentation.
Improved corneal clarity and deepened
anterior chamber following contact lens tamponade.