Bilateral corneal perforation in an infant with congenital alacrima.

A 9-month-old infant had bilateral corneal opacity with erosion in the inferior corneas. Clinical examination suggested the infant had congenital alacrima. After 1 week, both corneas perforated with collapsed anterior chambers. Therapeutic soft contact lenses with ofloxacin ointment 4 times daily were successful, and the perforations sealed within 1 week.