Penetrating keratoplasty for corneal perforation in an obtunded patient

W. S. Van Meter, J. Conklin

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


A ventilator-dependent patient obtunded from severe head trauma suffered a spontaneous corneal perforation with lens extrusion secondary to nosocomial Pseudomonas keratitis. Despite the patient's guarded condition, a successful tectonic penetrating keratoplasty with lens removal was performed for restoration of the globe. Upon recovery, the patient's only useful vision was in her operated eye. Preventative measures against prolonged corneal exposure in an obtunded patient include copious artificial tears and lubricants, use of scleral lenses, moisture chambers, bandage contact lenses, or tarsorrhaphies.

Original languageEnglish
Pages (from-to)137-139
Number of pages3
JournalOphthalmic Surgery
Issue number2
StatePublished - 1992

ASJC Scopus subject areas

  • Ophthalmology


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