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September 1973

Corneal Paracentesis and Soft Lenses

Author Affiliations

Long Island, NY

Arch Ophthalmol. 1973;90(3):261. doi:10.1001/archopht.1973.01000050263020

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To the Editor.  —The use of the hydrophilic corneal contact lens in the management of leaking corneal lacerations without uveal incarceration whose wound edges are well-aligned and apposed has been described in the Archives by Dr. Howard Leibowitz (88:602, 1972) and by Drs. Dohlman, Boruchoff, and Mobilis (unpublished data). Most of the cases described involve traumatic corneal lacerations.I should like to suggest that beveled clear corneal paracenteses that are not watertight can be handled similarly in the operating room. Toward the end of a recent limboscleral trephination in a child with secondary glaucoma, it was noted that the beveled clear corneal paracentesis (performed with a Zeigler knife) was leaking and would not maintain a formed anterior chamber. Rather than suture the corneal wound and thus commit the child to another anesthesia for suture removal or count on patching, it was decided to place a sterile soft contact lens over

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