title: Blowout Fracture after Descemet's Stripping Automated Endothelial Keratoplasty.
abstract: We present the case of an 86-year-old woman who developed a blowout fracture after Descemet's stripping automated endothelial keratoplasty (DSAEK). Sixteen months after DSAEK, she suffered a blow to her left eye caused by a fall. Computed tomography confirmed the presence of a blowout fracture of the inferior wall of the left orbit with soft tissue prolapsing into the orbit. The patient complained of no abnormal symptoms, and her operated cornea was intact and clear. There was no abnormal finding in both the anterior and posterior segments. This case highlights that the DSAEK technique provides adequate tectonic stability of the globe throughout the traumatic event in contrast to penetrating keratoplasty, which can lead to devastating vision damage after trauma.
authors.affiliation: Department of Ophthalmology, Osaka University Graduate School of Medicine, Suita, Japan.
authors.forename: Eri
authors.initials: E
authors.lastname: Tachibana
authors.affiliation: Department of Ophthalmology, Osaka University Graduate School of Medicine, Suita, Japan.
authors.forename: Shizuka
authors.initials: S
authors.lastname: Koh
authors.affiliation: Department of Ophthalmology, Osaka University Graduate School of Medicine, Suita, Japan.
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Maeda
authors.affiliation: Department of Ophthalmology, Osaka University Graduate School of Medicine, Suita, Japan.
authors.forename: Kohji
authors.initials: K
authors.lastname: Nishida
keywords: Blowout fracture; Corneal transplantation; Descemet's stripping automated endothelial keratoplasty