Abstract:

A 24 year-old man admitted to our clinic because of penetration of nail into his left eye. On our examination best corrected visual acuity 10/10 for the right eye and finger count from 50 cm for the left eye were detected. Microscopic examination showed normal findings except scars of radial keratotomy in his right eye. There were conjunctival and corneal edema, scars of corneal radial keratotomy in his left eye. The cornea-scleral perforation at the 3 o’clock meridian extended through the temporal corneoscleral limbus into the sclera. for about 2 mm. There was hemorrhage in anterior chamber at 3 o’clock position. Crystalline lens was intact and posterior segment was normal. Operation was performed on the patient after evaluation of his cranial X-ray, orbital computed tomography and routine laboratory analysis. Corneoscleral perforation was sutured with 10-0 monoflament nylon. Two months later, his best corrected visual acuity was 10/10. Although corneal perforation generally occur during radial keratotomy, the patients who have radial keratotomy have always risk of perforation due to trauma even after years of operation.

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