Traumatic wound dehiscence following penetrating keratoplasty

T. M. Topping, W. J. Stark, E. Maumenee, K. R. Kenyon

Research output: Contribution to journalArticle

Abstract

Four young male patients with keratoconus had traumatic dehiscence of the surgical wound after penetrating keratoplasty. Two were rendered aphakic by the trauma, and in one patient the lens was dislocated posteriorly. In each case the dehiscence was repaired by resuturing the original corneal graft. Despite marked corneal oedema in the immediate postoperative period all four grafts deturgesced and subsequently cleared. The follow-up has been a minimum of 23 months. We recommend therefore primary resuturing of traumatic wound dehiscence after keratoplasty, anterior vitrectomy if the lens is dislodged, and prophylactic antibiotics postoperatively. The clearing of the initially oedematous grafts in each case illustrates the resilience of the corneal endothelium.

Original languageEnglish (US)
Pages (from-to)174-178
Number of pages5
JournalBritish Journal of Ophthalmology
Volume66
Issue number3
DOIs
StatePublished - 1982

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems
  • Cellular and Molecular Neuroscience

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    Topping, T. M., Stark, W. J., Maumenee, E., & Kenyon, K. R. (1982). Traumatic wound dehiscence following penetrating keratoplasty. British Journal of Ophthalmology, 66(3), 174-178. https://doi.org/10.1136/bjo.66.3.174