What to do if cornea ruptures

Nowadays, many people often have problems with their corneas. For example, corneal ruptures due to trauma. In fact, most of these situations are caused by carelessness in life. Falling and collisions can lead to corneal ruptures. Once the cornea is damaged, it will cause edema and even cause eye damage, so it can be slowly adjusted through diagnosis methods in normal times.

Symptoms and signs

(1) Corneal epithelial abrasions cause obvious pain, photophobia, tearing, and other symptoms, accompanied by decreased vision. The epithelial defect area is stained with fluorescein and may cause a smaller ulcer if infection occurs. Antibiotic eye ointment can be applied and then bandaged to promote epithelial healing.

(2) The corneal stroma is edematous, thickened, and turbid, and the wrinkles of the posterior Descemet's membrane may be localized. It is caused by the rapid indentation of the cornea, the rupture of the endothelium and the elasticity of the cornea. Glucocorticoid eye drops can be prescribed, and mydriatic agents can be used if necessary.

Causes of Disease

Edema and opacity occur due to damage to the corneal epithelium and endothelium, resulting in abnormal corneal permeability.

Diagnostic tests

The diagnosis can be made clinically.

Treatment options

For the treatment of abrasions, antibiotic eye ointment can be applied and then bandaged to promote epithelial healing. It usually takes 1-2 days to repair. When the abrasion affects the anterior elastic layer, the healing process will be slower. If the contusion extends to the stroma, it is a deep corneal contusion. The cornea is edematous, thickened and opaque at the injured site, and the Descemet's membrane is wrinkled, which is mostly caused by rapid invagination of the cornea and rupture of the endothelium and Descemet's membrane. Severe contusions can be treated with glucocorticoid eye drops, and mydriatics can be used when there is inflammation in the anterior chamber.

Medication safety

Corneal abrasions and contusions generally have a good prognosis if properly treated. However, if secondary infection occurs, corneal rupture occurs, and ocular contents prolapse, the prognosis is poor and vision is seriously affected. Therefore, during the diagnosis and treatment process, strictly follow aseptic operations, avoid rubbing the eyes with your hands, and never wipe the eyes with unsterilized handkerchiefs or tissues.