Traumatic graft dehiscence after anterior lamellar keratoplasty.
A 64-year-old man underwent anterior lamellar keratoplasty using the Melles technique for corneal scar secondary to healed bacterial keratitis in the left eye. Two months postoperatively, the patient presented with blurry vision in the left eye after a fall in the bathroom. The uncorrected visual acuity was 20/400 in the left eye, and the external examination showed periorbital swelling with ecchymosis. Slit-lamp examination revealed an absent graft, a circular crater in the center, and a fragment of suture on the temporal edge of the crater. The Seidel test was negative, and there was no sign of infection. The anterior segment optical coherence tomography showed intact residual stroma with slight forward protrusion. The patient underwent repeat anterior lamellar corneal transplantation with improvement in uncorrected visual acuity of 20/100 and best spectacle-corrected visual acuity of 20/70 in the left eye 3 months postoperatively.
Prasher
Pawan
P
Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, TX 75390-9057, USA. pawanprasher@yahoo.com
Muftuoglu
Orkun
O
Mootha
V Vinod
VV
D000058:Accidental Falls; D001424:Bacterial Infections; D002921:Cicatrix / Q000209:etiology / Q000601:surgery*; D003316:Corneal Diseases / Q000209:etiology / Q000601:surgery*; D016039:Corneal Transplantation / Q000379:methods; D005131:Eye Injuries / Q000150:complications*; D005139:Eyeglasses; D006801:Humans; D007634:Keratitis / Q000150:complications / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D012086:Reoperation; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000601:surgery; D014792:Visual Acuity