Posttraumatic deep anterior lamellar keratoplasty dehiscence: Descemet's resistance

Indian J Ophthalmol. 2020 Jul;68(7):1459-1461. doi: 10.4103/ijo.IJO_1235_19.

Abstract

An 18-year-old girl who had undergone deep anterior lamellar keratoplasty in her left eye for keratoconus a year back presented with inferonasal graft dehiscence with intact host Descemet's membrane and intact anterior chamber after sustaining blunt injury a week prior. The graft was sutured to the host bed, and complete resolution of graft edema was seen in 4 weeks. One year later, she underwent cataract surgery with foldable intraocular lens implantation. At her final follow-up, the best-corrected visual acuity in her left eye was 20/40 with a clear corneal graft and a stable posterior chamber intraocular lens implantation.

Keywords: Anterior segment OCT; deep anterior lamellar keratoplasty; trauma; wound dehiscence.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Anterior Chamber
  • Corneal Transplantation*
  • Descemet Membrane / surgery
  • Descemet Stripping Endothelial Keratoplasty*
  • Female
  • Humans
  • Keratoconus* / diagnosis
  • Keratoconus* / surgery
  • Wounds, Nonpenetrating* / complications
  • Wounds, Nonpenetrating* / diagnosis
  • Wounds, Nonpenetrating* / surgery