title: Corneal perforation and decompensation after automated lamellar keratoplasty for hyperopia.
abstract: We describe a case of corneal perforation and decompensation after automated lamellar keratoplasty (ALK) in a middle-aged hyperopic man who had had unsuccessful holmium laser thermokeratoplasty. The corneal decompensation responded to gluing and application of a bandage contact lens but despite treatment, the corneal flap remained precariously poised with a localized area of thinning that is predisposed to future perforation and decompensation. This case highlights the potential for serious complications and subsequent visual morbidity after ALK.
authors.affiliation: Department of Ophthalmology, St. Jame's University Hospital, Leeds, England.
authors.forename: E A
authors.initials: EA
authors.lastname: Ansari
authors.forename: A J
authors.initials: AJ
authors.lastname: Morrell
authors.forename: K
authors.initials: K
authors.lastname: Sahni
mesh_terms: D001331:Automation; D003261:Contact Lenses; D003315:Cornea / Q000473:pathology / Q000601:surgery; D003316:Corneal Diseases / Q000209:etiology* / Q000628:therapy; D065306:Corneal Injuries; D016039:Corneal Transplantation / Q000009:adverse effects* / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D006956:Hyperopia / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D012422:Rupture, Spontaneous / Q000209:etiology / Q000628:therapy; D014014:Tissue Adhesives / Q000627:therapeutic use; D014792:Visual Acuity
chemical_list: D014014:Tissue Adhesives