Posttraumatic deep anterior lamellar keratoplasty dehiscence: Descemet's resistance

• Main Authors: Meena Lakshmipathy, Prabhat Nangia, Rashima Asokan
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2020-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: anterior segment oct; deep anterior lamellar keratoplasty; trauma; wound dehiscence
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=7;spage=1459;epage=1461;aulast=Lakshmipathy

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.