Endothelial keratoplasty: first report of a ruptured globe after deep lamellar endothelial keratoplasty.
OBJECTIVE
To report a case of ruptured globe after endothelial keratoplasty.


METHODS
Review of clinical findings in an 80-year-old man who presented with globe rupture after blunt trauma 3 years after deep lamellar endothelial keratoplasty.


RESULTS
The rupture occurred through the temporal scleral tunnel incision with expulsion of endothelial graft and intraocular lens. Primary repair was successful, but the postoperative course has remained complicated.


CONCLUSIONS
A ruptured globe caused by blunt trauma can occur after endothelial keratoplasty as it can after other intraocular procedures. In this case, the endothelial graft was extruded with separation of the donor-graft interface. The incidence has yet to be determined and whether it is less than that after standard penetrating keratoplasty surgery will require further long-term studies.
Devers Eye Institute, Portland, OR 97210, USA. eschen37@hotmail.com
Edwin S
ES
Chen
Neda
N
Shamie
Mark A
MA
Terry
D000369:Aged, 80 and over; D016039:Corneal Transplantation; D004728:Endothelium, Corneal / Q000637:transplantation*; D005131:Eye Injuries / Q000209:etiology* / Q000601:surgery; D006801:Humans; D015948:Keratoplasty, Penetrating; D016850:Limbus Corneae / Q000293:injuries*; D008297:Male; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery; D012421:Rupture; D012590:Sclera / Q000293:injuries; D012591:Scleral Buckling; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications*