Corneal perforation as a result of trauma, severe, rapidly progressive corneal ulceration or a ruptured desmetocele constitutes an ocular emergency. Perforated globes are tectonically fragile and affected patients should be handled with extreme caution to minimize the risk of further intraocular pathology including iris prolapse and/or retinal detachment. Surgical repair should be performed as soon as possible, with a variety of techniques described.