Corneal Perforation Treatment

What is corneal perforation?

Corneal perforation is a full-thickness break in the cornea, allowing fluid from inside the eye to leak out. It may result from a severe corneal ulcer (infection), trauma, autoimmune disease or severe dry eye. Without treatment it can lead to infection inside the eye and permanent vision loss.

Symptoms & signs

• Sudden watery discharge from the eye
• Severe pain, redness and light sensitivity
• Sudden drop in vision
• Visible white spot or defect on the cornea

Causes & risk factors

• Untreated or severe corneal ulcer (bacterial, fungal or viral)
• Penetrating eye injury
• Autoimmune or rheumatological disease
• Severe dry eye or exposure
• Chemical injury

Who needs this treatment?

• Patients with corneal perforation or impending perforation
• Patients with severe corneal ulcers or thinning

How it is diagnosed

• Slit-lamp examination
• Seidel test to confirm leakage
• Corneal scraping and culture for infection
• B-scan if the inside of the eye is not visible

Treatment options

Procedure / what to expect

1. Urgent assessmentSize, cause and infection status determined.
2. Seal the defectGlue, patch graft or keratoplasty as appropriate.
3. Treat the causeInfection or inflammation is treated aggressively.
4. Close follow-upFrequent reviews during healing.

Benefits

• Restores eye integrity
• Treats underlying infection
• Aims to preserve the eye and useful vision

Technology used

• Slit-lamp biomicroscopy
• Operating microscope
• Microbiology support for cultures

Specific equipment models: to be confirmed by the hospital

Recovery

• Healing may take weeks to months
• Frequent drops and visits are needed
• Further visual rehabilitation may be planned later

Precautions

• Do not use steroid or over-the-counter drops without advice
• Never rub the eye
• Wear a protective shield as advised
• Seek urgent care for any eye injury or painful red eye

Frequently asked questions

Why choose Jawahar Eye Hospital?

• Specialist-led diagnosis and treatment planning
• Modern diagnostics and surgical systems
• Clear explanation of options, risks and costs
• Day-care procedures wherever appropriate
• Structured follow-up after treatment
• Convenient location on Delhi Road, Meerut