Early treatment is crucial to minimise permanent damage.
We can grade the damage to your eye from mild to very severe. We treat mild injuries with topical eye drops and ointments. More severe injuries can result in extensive damage to the eye and surrounding structures and might require surgical repair.
10-20% of injuries result in corneal scarring, which if central, can affect eyesight, and cause the visual acuity to deteriorate and various ocular distortions. However, if scarring is peripheral to the cornea, i.e. does not involve the line of vision, then the vision may be less affected.
In the acute phase of eye trauma or infection, we can use topical antibiotics, eye lubricants, and later, steroids. We can treat any remaining scar on the cornea if symptomatic and affecting vision or causing a lot of discomfort.
Usually, treatment is delayed for six months after the initial injury to allow the body to heal itself. In our experience, many corneal scars fade with time and vision improves gradually.
If there is no improvement, surgical intervention may be necessary. This includes:
- Laser surgery, which is simple and effective in the very superficial scars
- A partial-thickness corneal transplant
- Superficial lamellar keratoplasty in case of superficial scar in the cornea
- Deep lamellar keratoplasty (DALK) for deeper corneal scars
- We use a femtosecond laser to assist corneal transplantation. In some cases, two types of lasers are used to give the best possible visual outcomes.