Skip to main content

Cornea

  • Chapter
Ocular Traumatology
  • 1401 Accesses

Abstract

Injury to the cornea is very common: 10% of all new patient visits to an eye casualty clinic in one study were due to corneal trauma [8]. The cornea is involved in over half of all serious ocular trauma cases in the USEIR [20]. The typical injury occurs at home and is caused by a sharp object. Associated injuries are fairly common (Table 2.2.1).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Banerjee A (1990) Effectiveness of eye protection in the metal working industry. Br Med J 301: 645−646

    CAS  Google Scholar 

  2. Barr C (1983) Prognostic factors in corneoscleral lacerations. Arch Ophthalmol 101: 919−924

    PubMed  CAS  Google Scholar 

  3. Birkhimer L, Jacobson P, Olson J, Goyette D (1984) Ocular scopolamine-induced psychosis. J Fam Pract 18: 464−466

    PubMed  CAS  Google Scholar 

  4. Bowman R, Yorston D, Aitchison T, McIntyre B, Kirkness C (1999) Traumatic wound rupture after penetrating keratoplasty in Africa. Br J Ophthalmol 83: 530−534

    PubMed  CAS  Google Scholar 

  5. Campos M, Lee M, McDonnell P (1992) Ocular integrity after refractive surgery: effects of photorefractive keratectomy, phototherapeutic keratectomy, and radial keratotomy. Ophthal Surg: 598−602

    Google Scholar 

  6. Chang P, Soong H, Barnett J (1991) Corneal penetrations by tarantula hairs. Br J Ophthalmol 75: 253−254

    Article  PubMed  CAS  Google Scholar 

  7. Chaudhry N, Smiddy W (1998) Displacement of corneal cap during vitrectomy in a post-LASIK eye. Retina 18: 554−555

    Article  PubMed  CAS  Google Scholar 

  8. Chiapella A, Rosenthal A (1985) One year in eye casualty. Br J Ophthalmol 69: 865−870

    Article  PubMed  CAS  Google Scholar 

  9. Dangel M, Kestes R (1980) The adjustable slipknot. An alternative technique. Ophthalmic Surg 12: 843−846

    Google Scholar 

  10. Dogru M, Katakami C, Miyashita M, Hida E, Uenishi M, Tetsumoto K, Kanno S, Nishida T, Yamanaka A (2000) Visual and tear function improvement after superficial phototherapeutic keratectomy (PTK) for mid-stromal corneal scarring. Eye 14: 779−784

    PubMed  Google Scholar 

  11. Dursun D, Kim MC, Solomon A, Pflugfelder SC (2001) Treatment of recalcitrant recurrent corneal erosions with inhibitors of matrix metalloproteinase-9, doxycycline and corticosteroids. Am J Ophthalmol 132: 8−13

    Article  PubMed  CAS  Google Scholar 

  12. Elder M, Stack R (2004) Globe rupture following penetrating keratoplasty: How often, why, and what can we do to prevent it? Cornea 23: 776−780

    Article  PubMed  Google Scholar 

  13. Ernest P, Lavery K, Kiessling L (1994) Relative strength of scleral corneal and clear corneal incisions constructed in cadaver eyes. J Cataract Refract Surg 20: 626−629

    PubMed  CAS  Google Scholar 

  14. Gasset A, Dohlman C (1968) The tensile strength of corneal wounds. Arch Ophthalmol 79: 595−602

    PubMed  CAS  Google Scholar 

  15. Heier J, Enzenauer R, Wintermeyer S (1993) Ocular injuries and disease at a combat supported hospital in support of operations Desert Shield and Desert Storm. Arch Ophthalmol 111: 795−798

    PubMed  CAS  Google Scholar 

  16. John M, Van der Karr M, Noblitt R (1984) Excimer laser phototherapeutic keratectomy for treatment of recurrent erosion. J Cataract Refract Surg 20: 179−181

    Google Scholar 

  17. Katz H, Snyder M, Green W (1994) Nd:YAG laser photo-induced adhesion of the corneal epithelium. Am J Ophthalmol 118: 612−612

    PubMed  CAS  Google Scholar 

  18. Kirkpatrick J, Hoh H, Cook S (1993) No eye pad for corneal abrasion. Eye 7: 468−471

    PubMed  Google Scholar 

  19. Kuhn F, Heimann K (1991) Ein neuer Dauermagnet zur Entfernung intraokularer ferromagnetischer Fremdkoerper. Klin Mbl Augenheilk 198: 301−303

    Article  PubMed  CAS  Google Scholar 

  20. Kuhn F, Mester V, Berta A, Morris R (1998) Epidemiology of serious ocular trauma: The United States Eye Injury Registry (USEIR) and the Hungarian Eye Injury Registry (HEIR). Ophthalmologe 95: 332−343

    Article  PubMed  CAS  Google Scholar 

  21. Kuhn F, Morris R, Mester V (2001) Choroidal detachment and expulsive choroidal hemorrhage. Ophthalmol Clin N Am 14: 639−650

    Article  CAS  Google Scholar 

  22. Lesher M, Durrie D, Stiles M (1993) Corneal edema, hyphema, and angle recession after air bag inflation. Arch Ophthalmol 111: 1320−1322

    PubMed  CAS  Google Scholar 

  23. Lindquist T (1992) Complications of corneal refractive surgery. Int Ophthalmol Clin 32: 97−114

    Article  PubMed  CAS  Google Scholar 

  24. Lord RK, Price FW, Price MO, Werner L, Mamalis N (2006) Histology of posterior lamellar keratoplasty. Cornea 25: 1093−1096

    Article  PubMed  Google Scholar 

  25. Mackool R, Russell R (1996) Strength of clear corneal incisions in cadaver eyes. J Cataract Refract Surg 22: 721−725

    PubMed  CAS  Google Scholar 

  26. Maloney W, Colvard M, Bourne W (1979) Specular microscopy of traumatic posterior annular keratopathy. Arch Ophthalmol 97: 1647−1650

    PubMed  CAS  Google Scholar 

  27. Melles GR, Ong TS, Ververs B, van der Wees J (2006) Descemet’s membrane endothelial keratoplasty (DMEK). Cornea 25: 987−990

    Article  PubMed  Google Scholar 

  28. Mönestam E, Björnstig U (1991) Eye injuries in northern Sweden. Acta Ophthalmol 69: 1−5

    Google Scholar 

  29. Moschos M, Droutsas D, Boussalis P, Tsioulias G (1996) Clinical experience with cyanoacrylate tissue adhesive. Doc Ophthalmol 93: 237−245

    Article  PubMed  Google Scholar 

  30. Pfister R, Burnstein N (1976) The effects of ophthalmic drugs, vehicles, and preservatives on corneal epithelium: a scanning electron microscope study. Invest Ophthalmol Vis Sci 15: 246−259

    CAS  Google Scholar 

  31. Pinheiro MJ, Bryant M, Tayyanipour R, Nassaralla B, Wee W, McDonnell P (1995) Corneal integrity after refractive surgery. Effects of radial keratotomy and mini-radial keratotomy. Ophthalmology 102: 297−301

    PubMed  Google Scholar 

  32. Reyes JM, Herretes S, Pirouzmanesh A, Wang D, Elisseeff J, Jun A, McDonnell P, Chuck R, Behrens A (2005) A modified chondroitin sulfate aldehyde adhesive for sealing corneal incisions. Invest Ophthalmol Vis Sci 46: 1247−1250

    Article  PubMed  Google Scholar 

  33. Roberson M, Wicheta W (1985) Endothelial loss in corneal concussion injury. Ann Ophthalmol 17: 457−458

    PubMed  CAS  Google Scholar 

  34. Rowsey J, Hays J (1984) Refractive reconstruction for acute eye injuries. Ophthalmic Surg 15: 569−574

    PubMed  CAS  Google Scholar 

  35. Rubinfeld R, Laibson P, Cohen E (1990) Anterior stromal puncture for recurrent erosion: further experience and new instrumentation. Ophthalmic Surg 21: 318−326

    PubMed  CAS  Google Scholar 

  36. Schmack I, Dawson D, McCarey B, Waring G, Grossniklaus H, Edelhauser H (2005) Cohesive tensile strength of human LASIK wounds with histologic, ultrastructural, and clinical correlations. J Refr Surg 433−445

    Google Scholar 

  37. Sharma A, Kaur R, Kumar S, Gupta P, Pandav S, Patnaik B, Gupta A (2003) Fibrin glue versus N-butyl-2-cyanoacrylate in corneal perforations. Ophthalmology 110: 291−298

    Article  PubMed  Google Scholar 

  38. Stern G, Schemmer G, Farber R (1983) Effect of topical antibiotic solutions on corneal epithelial wound healing. Arch Ophthalmol 101: 644−647

    PubMed  CAS  Google Scholar 

  39. Su CY, Lin CP (2000) Combined use of an amniotic membrane and tissue adhesive in treating corneal perforation: a case report. Ophthalmic Surg Lasers 31: 151−154

    PubMed  CAS  Google Scholar 

  40. Terry M, Ousley P (2006) Deep lamellar endothelial keratoplasty: early complications and their management. Cornea 25: 37−43

    Article  PubMed  Google Scholar 

  41. Tseng S, Lin S, Chen F (1999) Traumatic wound dehiscence after penetrating keratoplasty: clinical features and outcome in 21 cases. Cornea 18: 553−558

    Article  PubMed  CAS  Google Scholar 

  42. Tsubota K, Goto E, Shimmura S, Shimazaki J (1999) Treatment of persistent corneal epithelial defect by autologous serum application. Ophthalmology 106: 1984−1989

    Article  PubMed  CAS  Google Scholar 

  43. Uchio E, Watanabe Y, Kadonosono K, Matsuoka Y, Goto S (2003) Simulation of airbag impact on eyes after photorefractive keratectomy by finite element analysis method. Graefe's Arch Clin Exp Ophthalmol 241: 497−504

    Article  Google Scholar 

  44. Vinger PF (2002) Injury to the postsurgical eye. In: Kuhn F, Pieramici D (eds) Ocular trauma: principles and practice. Thieme, New York, pp 280−292

    Google Scholar 

  45. Vote BJ, Elder MJ (2000) Cyanoacrylate glue for corneal perforations: a description of a surgical technique and a review of the literature. Clin Experiment Ophthalmol 28: 437−442

    Article  PubMed  CAS  Google Scholar 

  46. Weene L (1985) Recurrent corneal erosion after trauma: a statistical study. Ann Ophthalmol 17: 521−524

    PubMed  CAS  Google Scholar 

  47. Zuckerman B, Lieberman T (1960) Corneal rust ring. Arch Ophthalmol 63: 254−264

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Kuhn, F. (2008). Cornea. In: Ocular Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-33825-3_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-33825-3_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-33824-6

  • Online ISBN: 978-3-540-33825-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics