New Jersey Medical School, UMDNJ, Newark, NJ 07109, USA.
Cornea. 2010 Jul;29(7):825-7. doi: 10.1097/ICO.0b013e3181ac4faa.
We present 2 cases of spontaneous corneal perforation in patients with keratoconus. The first patient developed a corneal scleral fistula 1 year after her initial diagnosis of hydrops. We conclude that adequate eye care education, allergy prophylaxis, and fall precautions may be necessary in patients with keratoconus to prevent corneal perforations. Medical and surgical treatments are both viable first-line treatments for corneal perforations.
我们报告了 2 例圆锥角膜患者的自发性角膜穿孔。第一例患者在最初诊断为水肿后 1 年出现了角膜巩膜瘘。我们得出结论，对于圆锥角膜患者，可能需要充分的眼部护理教育、过敏预防和防跌倒措施，以预防角膜穿孔。药物和手术治疗都是角膜穿孔的可行一线治疗方法。
