Rupture of radial and arcuate keratotomy scars by blunt trauma 91 months after incisional keratotomy.
OBJECTIVE
We studied a case in which blunt trauma caused dehiscence of radial and arcuate corneal scars 91 months after incisional keratotomy. The ruptured incisions did not extend beyond the corneoscleral limbus.


CONCLUSIONS
Incisional refractive surgery renders the cornea susceptible to blunt traumatic rupture. This vulnerability results from the intrinsic weakness of the keratotomy wounds. Our case documents that this weakness persists up to 91 months after the operation.
Lee
B L
BL
Jules Stein Eye Institute, Los Angeles, CA 90024, USA.
Manche
E E
EE
Glasgow
B J
BJ
D000328:Adult; D003315:Cornea / Q000473:pathology / Q000601:surgery; D065306:Corneal Injuries; D005131:Eye Injuries / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D007646:Keratotomy, Radial; D011391:Prolapse; D012421:Rupture; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014603:Uveal Diseases / Q000209:etiology / Q000473:pathology / Q000601:surgery; D014792:Visual Acuity; D014945:Wound Healing; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000473:pathology