[Corneal perforated wounds treatment by "thermal contact": report of 25 cases]

Authors present a particular treatment of perforated corneal wounds. Patients presenting traumatic perforated corneal wound with iris hernia infected or not, have been treated by a weekly hernia's outside cauterization. Wound dressing, rifamycin eye drop until cicatrization, antibiotic and anti-inflammatory per os, are daily instituted for 10 days. Patients follow up runs from 5 months to 4 years. We have obtained in all cases ocular bulb conservation but one case of phthisis bulb. Visual acuity increase between 2/10 and 7/10 after eyes with peripheral perforated wounds cicatrization. Second eye is normal in all cases. This technique can be used to avoid mutilation surgery in our region when prosthesis is difficult to get.