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- Paulo Elias C Dantas and M Cristina Nishiwaki-Dantas.
- Department of Ophthalmology, Corneal and External Disease Service, Sorocaba Eye Hospital and Faculty of Medical Sciences, Santa Casa of São Paulo, Rua Martinico Prado 26, Conj. 181/182, CEP 01224-010 São Paulo, Brazil. pauloecdantas@uol.com.br
- Eye Contact Lens. 2004 Jan 1; 30 (1): 40-1.
PurposeTo report an uncommon case of bilateral spontaneous corneal perforation in keratoconus.DesignInterventional case report.MethodA 63-year-old man with a long history of keratoconus (more than 30 years) experienced acute hydrops and corneal perforation in his right eye. One year later, he had the same clinical features in his left eye.ResultsAfter initial treatment with cyanoacrylate glue and bandage soft contact lenses, therapeutic penetrating keratoplasty was performed with good visual outcome in both eyes.ConclusionSpecial attention should be paid to the possibility of spontaneous corneal perforation during acute hydrops in patients with severe corneal thinning, biomicroscopic findings of advanced disease, and high keratometry readings.
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