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June 1974

Instrument Penetrates Cornea

Author Affiliations

Forest Hills, NY

Arch Ophthalmol. 1974;91(6):519. doi:10.1001/archopht.1974.03900060533023

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To the Editor.  —A recent experience in my practice of ophthalmology may serve as a gadfly to all practitioners performing surgery around the area of the head and neck to exhibit greater caution. Innocent instruments, loosely handled, can be injurious.A competent young dentist was routinely treating a patient when a dental explorer slipped while it was being passed across the patient's face to a tray. The instrument penetrated the patient's cornea. He was rushed to my office where I noted that his anterior chamber had collapsed from a through-and-through perforation. Immediate treatment was aimed at constricting the pupil to protect the lens; the eye was treated with antibiotics and patched. Subsequently, the man was admitted to North Shore Hospital when the anterior chamber did not reform completely.Employing the same regimen as that used initially, including rest in bed, the anterior chamber reformed in one day. Subsequently, his vision

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