PT  - JOURNAL ARTICLE
AU  - T M Topping
AU  - W J Stark
AU  - E Maumenee
AU  - K R Kenyon
TI  - Traumatic wound dehiscence following penetrating keratoplasty.
AID  - 10.1136/bjo.66.3.174
DP  - 1982 Mar 01
TA  - British Journal of Ophthalmology
PG  - 174--178
VI  - 66
IP  - 3
4099  - http://bjo.bmj.com/content/66/3/174.short
4100  - http://bjo.bmj.com/content/66/3/174.full
SO  - Br J Ophthalmol1982 Mar 01; 66
AB  - 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 dislodged, and prophylactic antibiotics postoperatively. The clearing of the initially oedematous grafts in each case illustrates the resilience of the corneal endothelium.