What is the primary reason for referring a patient with descemetoceles?

In cases of descemetoceles, the primary reason for referral typically centers around the need for surgical intervention. A descemetocele is a serious condition involving a defect in the corneal stroma that exposes Descemet's membrane, often resulting from corneal ulcers that have penetrated deeply.

Surgical repair is critical for two main reasons. First, it helps to restore the integrity of the cornea by addressing the underlying defect, which is essential to prevent further complications such as perforation of the cornea. Second, timely surgical intervention can significantly enhance the chances of preserving vision, especially if the condition is severe or has been present for an extended period.

While patient comfort, immediate pain relief, and the prevention of infection are important considerations in managing any ocular condition, they are not the primary reasons for referral in the case of a descemetocele. Comfort can be addressed with appropriate pain management, and while preventing infection is essential, surgical repair remains the foremost concern due to the nature of the condition and its potential consequences.