title: First report of traumatic globe rupture after femtosecond laser-assisted penetrating keratoplasty.
abstract: OBJECTIVE
  To describe the first reported case of traumatic globe rupture after femtosecond laser-assisted penetrating keratoplasty.
  
  
  METHODS
  A 21-year-old Hispanic man suffered a corneal laceration after blunt trauma leading to a visually significant corneal scar and aphakia.
  
  
  RESULTS
  The patient underwent femtosecond laser-assisted penetrating keratoplasty using a zigzag-shaped wound with secondary intraocular lens placement. Eighteen months after surgery, he suffered another blunt trauma resulting in inferior dehiscence of his inferior penetrating keratoplasty wound, loss of uveal tissue, and extrusion of the scleral-fixated posterior chamber intraocular lens. The patient underwent repair of the wound dehiscence.
  
  
  CONCLUSIONS
  Despite the theoretical advantages conferred by a shaped graft-host junction, a shaped penetrating keratoplasty wound created with femtosecond laser can still be subject to dehiscence from trauma.
authors.affiliation: Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, TX 75390-9057, USA.
authors.forename: Matthew M
authors.initials: MM
authors.lastname: Kruger
authors.forename: V Vinod
authors.initials: VV
authors.lastname: Mootha
mesh_terms: D001036:Aphakia, Postcataract / Q000209:etiology; D065306:Corneal Injuries; D005131:Eye Injuries / Q000209:etiology* / Q000601:surgery; D006801:Humans; D015948:Keratoplasty, Penetrating; D053685:Laser Therapy; D053844:Lasers, Solid-State / Q000627:therapeutic use; D019654:Lens Implantation, Intraocular; D008297:Male; D011183:Postoperative Complications; D012421:Rupture; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000601:surgery; D014792:Visual Acuity / Q000502:physiology; D014949:Wounds, Nonpenetrating / Q000209:etiology; D055815:Young Adult