Can a corneal perforation heal on its own?

Corneal perforation is often caused by corneal trauma, but can corneal perforation heal on its own? This depends on the size of the perforation. If it is a very small hole, you can choose to cover it with a biofilm, but if it is a large perforation, you can only choose to transplant the cornea, which is a relatively large operation. But no matter the size of the perforation, it is unlikely to heal on its own, so it is safer to seek medical attention in time.

1. Can corneal perforation heal on its own?

Corneal perforation is a relatively serious disease. The inside and outside of the eyeball are connected, which makes it very easy to cause secondary infection and even endophthalmitis, resulting in blindness. Different surgical methods are used depending on the size of the perforation. Small perforations can be covered with a biomembrane, while large perforations generally require a corneal transplant.

2. Harm of corneal perforation

Corneal perforation is common in corneal trauma. Sharp object perforation, foreign objects in the cornea, etc. can cause corneal perforation. The postoperative effects depend on the cause and extent of injury. If it is caused by a foreign body in the cornea, the corneal perforation may cause traumatic cataracts, iridocyclitis, and iris adhesion after healing, all of which may affect vision. If the cornea is simply perforated, scars will be left at the suture site after the operation - white spots, cloudiness, etc., which will also affect vision to varying degrees.

3. Can the eyeball be saved after corneal perforation?

If the hole is small and nothing has leaked out after corneal perforation, you can apply pressure bandage and cover it with conjunctiva or amniotic membrane while treating the infection. If the hole is large, something has leaked out or there is a serious infection in the eye, it may not be able to be saved.

4. Symptoms and treatment of corneal perforation

After corneal perforation, clinical symptoms such as photophobia, tearing, pain, and decreased vision will appear. After corneal perforation, intraocular pressure will decrease, the anterior chamber will become shallower or disappear, and sometimes there may be anterior chamber hemorrhage. It is recommended to go to a regular hospital's ophthalmology department for a detailed examination, first suture a stitch at the corneal edge, then use local antibiotics, and bandage the affected eye.