About Cornea Scleral Perforation Repair
Key Highlights
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Sight-Saving Intervention: Prevents permanent vision loss by immediately sealing the eye's protective outer layer.Restores Structural Integrity: Re-establishes the globe's shape and maintains normal intraocular pressure.Prevents Severe Infection: A watertight seal is crucial to block entry of bacteria, preventing endophthalmitis.listrongCustomized Surgical Approach:/strong Technique (suturing, grafting) is tailored to the size, location, and cause of the perforation./lilistrongFoundation for Further Treatment:/strong A successful repair creates a stable platform for any subsequent vision-restoring surgeries (e.g., cataract or corneal transplant)./li/ul
Who is this surgery for?
- Traumatic injury to the eye (e.g., from sharp objects, blunt force, or chemical burns).
- Perforation due to advanced corneal ulcers or infections that have eroded through the layers.
- Complication from previous eye surgery (e.g., cataract surgery).
- Spontaneous perforation from severe autoimmune or inflammatory diseases (e.g., rheumatoid arthritis, Mooren's ulcer).
- Perforation caused by corneal thinning disorders like keratoconus or Terrien's marginal degeneration.
How to prepare
- Emergency Assessment: Immediate evaluation in the emergency department, including a detailed history of the injury.
- Imaging: An ultrasound (B-scan) of the eye may be performed if the view is obscured to assess the posterior segment.
- Medication Review: Disclosure of all current medications, especially blood thinners (aspirin, warfarin).
- Informed Consent: Discussion of the urgent nature of the surgery, its risks, benefits, and the need for possible general anesthesia.
- Pre-operative Measures: Administration of broad-spectrum intravenous antibiotics to prevent infection and application of a protective shield over the eye.
Risks & possible complications
- Infection (Endophthalmitis): A severe, vision-threatening infection inside the eye.
- Elevated Intraocular Pressure (Glaucoma): Can occur post-operatively.
- Cataract Formation: The trauma or surgery may accelerate cataract development.
- Corneal Scarring & Astigmatism: Healing can cause irregular corneal shape, leading to blurred vision.
- Retinal Detachment: Risk associated with the initial trauma or subsequent procedures.
- Graft Failure or Re-perforation: The repaired site may not heal properly or may break down again.
- Persistent Inflammation or Pain.
Recovery & hospital stay
- Hospital Stay: Typically requires a short inpatient stay for monitoring and initial intravenous antibiotics.
- Eye Protection: A rigid shield must be worn, especially while sleeping, for several weeks to prevent accidental pressure.
- Medication Regimen: Strict use of prescribed antibiotic and anti-inflammatory eye drops to prevent infection and control swelling.
- Activity Restrictions: Avoid heavy lifting, straining, bending over, and any activity that could increase eye pressure for 4-6 weeks.
- Follow-up Visits: Frequent post-operative check-ups are crucial to monitor healing, eye pressure, and for suture removal if non-dissolvable sutures are used.
- Vision Rehabilitation: Final visual outcome may require glasses, contact lenses, or additional surgeries (like cataract extraction) once the eye is fully stable, which can take months.
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Typical hospital stay: 2-5 days
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Expected recovery time: 6-12 weeks for initial stabilization; full visual recovery may take several months
Frequently Asked Questions
If you are considering cornea scleral perforation repair in India, these questions and answers can help you make a confident, informed decision.
Popular choices for cornea scleral perforation repair in India include Kamineni Hospital, Tadigadapa, Manipal Hospital Whitefield, Manipal Hospital Goa , known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform cornea scleral perforation repair. MediFyr helps you compare ophthalmologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for cornea scleral perforation repair compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 50 Thousand – 200 Thousand | 2-5 days | ~ 6-12 weeks for initial stabilization; full visual recovery may take several months | Know More |
| Turkey | TRY 175 Thousand – 700 Thousand | 2-5 days | ~ 6-12 weeks for initial stabilization; full visual recovery may take several months | Know More |
Top hospitals for Cornea Scleral Perforation Repair in India
These partner hospitals in India have dedicated ophthalmology teams and experience managing patients undergoing cornea scleral perforation repair.
Vikram Reddy, a 58-year-old retired carpenter,...
Vikram Reddy, a 58-year-old retired carpenter, had a history of dry eye syndrome and a minor corneal scar from a wood chip injury years ago. He lived alone and valued his independence. Over a week, he developed severe, sharp pain in his right eye, extreme sensitivity to light, and noticed his vision becoming cloudy and distorted. He initially dismissed it as a flare-up of his dry eyes. When the pain became unbearable and he saw a dark spot in his vision, he went to the ER. An ophthalmologist diagnosed a corneal scleral perforation, likely from the old, weakened scar tissue giving way. The doctor explained that without immediate surgical repair, he risked losing the eye to infection or collapse. Terrified of blindness and losing his ability to drive and care for himself, Vikram agreed to surgery. The procedure, under local anesthesia, was anxiety-inducing; he was acutely aware of the delicate work happening just inches from his sight. The recovery was slow and required strict positioning and a regimen of antibiotic and steroid drops. His vision remained blurry for weeks, causing significant frustration and fear. However, as the eye healed, the sharp pain subsided, and the cloudiness gradually cleared. While his vision didn't return to its prior state, it stabilized. The emotional relief of saving his eye and averting disaster was profound. He felt a deep gratitude for modern medicine and adapted to his new visual baseline with a cautious but renewed appreciation for his remaining sight.
Ophthalmologists for Cornea Scleral Perforation Repair
Explore experienced ophthalmologists who regularly perform cornea scleral perforation repair and provide pre- and post-operative care in India.
- 21 Years Experience
- Ophthalmologist
Manipal Hospital Sarjapur Road, Bangalore
- 27 Years Experience
- Ophthalmologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 5 Years Experience
- Ophthalmologist
Kamineni Hospital LB Nagar, Hyderabad
- 28 Years Experience
- Ophthalmologist
- 28 Years Experience
- Ophthalmologist
Metro Hospital, Sector 11, Noida
- 23 Years Experience
- Ophthalmologist
Miot Hospital Chennai, Chennai
- 19 Years Experience
- Ophthalmologist
- 15 Years Experience
- Ophthalmologist
Metro Hospital, Sector 11, Noida
- 12 Years Experience
- Ophthalmologist
Miot Hospital Chennai, Chennai
- 9 Years Experience
- Ophthalmologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 20 Years Experience
- Ophthalmologist
Manipal Hospital Mukundapur, Kolkata
- 9 Years Experience
- Ophthalmologist
Manipal Hospital Old Airport Road, Bangalore
- 8 Years Experience
- Ophthalmologist
Manipal Hospital Hebbal, Bangalore
- 16 Years Experience
- Ophthalmologist
Manipal Hospital Hebbal, Bangalore
- 11 Years Experience
- Ophthalmologist
Manipal Hospital Millers Road, Bangalore
- 17 Years Experience
- Ophthalmologist
Manipal Hospital Ranchi, Ranchi
- 16 Years Experience
- Ophthalmologist
Manipal Hospital Kharadi, Pune
- 13 Years Experience
- Ophthalmologist
Manipal Hospital Sarjapur Road, Bangalore
- 10 Years Experience
- Ophthalmologist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Ophthalmologist