Corneal perforations. Changing methods of treatment, 1960-1980

L. W. Hirst, William E Smiddy, W. J. Stark

Research output: Contribution to journalArticle

63 Citations (Scopus)

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 languageEnglish
Pages (from-to)630-635
Number of pages6
JournalOphthalmology
Volume89
Issue number6
StatePublished - Jan 1 1982
Externally publishedYes

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Corneal Perforation
Tissue Adhesives
Chemical Burns
Herpetic Keratitis
Corneal Ulcer
Keratitis
Therapeutics
Referral and Consultation
Physicians

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Corneal perforations. Changing methods of treatment, 1960-1980. / Hirst, L. W.; Smiddy, William E; Stark, W. J.

In: Ophthalmology, Vol. 89, No. 6, 01.01.1982, p. 630-635.

Research output: Contribution to journalArticle

Hirst, LW, Smiddy, WE & Stark, WJ 1982, 'Corneal perforations. Changing methods of treatment, 1960-1980', Ophthalmology, vol. 89, no. 6, pp. 630-635.
Hirst, L. W. ; Smiddy, William E ; Stark, W. J. / Corneal perforations. Changing methods of treatment, 1960-1980. In: Ophthalmology. 1982 ; Vol. 89, No. 6. pp. 630-635.
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