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Corneal fistulas and their management
M J Mannis1, J Ruben, L Wedemeyer
1Department of Ophthalmology, University of California, Davis, Sacramento 95816.
American Journal of Ophthalmology
|June 15, 1988
Summary
Chronic corneal fistulas, a rare complication of corneal perforation, require careful assessment for effective management. Surgical intervention is often necessary, but risks like endophthalmitis can lead to vision loss.
Area of Science:
- Ophthalmology
- Corneal Surgery
Background:
- Chronic corneal fistulization is a rare condition following corneal perforation.
- It can arise from trauma, surgery, or infection, leading to potential complications.
Observation:
- Reviewed three cases of chronic corneal fistula.
- Two cases were managed surgically; one resulted in endophthalmitis and vision loss.
Findings:
- Corneal fistulas can cause hypotony, anterior synechiae, and endophthalmitis.
- Risk assessment involves fistula type, location, and ocular adnexae condition.
Implications:
- A systematic approach is crucial for assessing and treating corneal fistulas.
- Timely and appropriate therapy is vital to prevent severe complications like vision loss.