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Management of Open Globe Injuries pp 113–121Cite as

Case 6: Dehiscence of Penetrating Keratoplasty from Blunt Trauma

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Abstract

A 43-year-old woman presented with a dehisced penetrating keratoplasty graft, expulsed crystalline lens, vitreous loss, and choroidal detachment after blunt trauma to the right eye. The patient underwent immediate repair of the dehisced corneal transplant with interrupted 10-0 nylon sutures under general anesthesia. Her wound was closed successfully and her post-operative care involved treatment for aphakia. She was fitted with a hybrid contact lens and several scleral lenses, but remained bothered by anisometropia and issues with lens maintenance. She is currently considering secondary intraocular lens placement surgery. Other issues regarding traumatic dehiscence of penetrating keratoplasty wounds include infection, irregular corneal astigmatism, and graft failure.

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References

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear, Boston, MA, USA

    Emma Davies M.D.

  2. Vitreoretinal Surgery, Harvard Medical School, Massachusetts Eye and Ear and Boston Children’s Hospital, Boston, MA, USA

    Yoshihiro Yonekawa M.D.

Authors
  1. Emma Davies M.D.
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  2. Yoshihiro Yonekawa M.D.
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Corresponding author

Correspondence to Emma Davies M.D. .

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Editors and Affiliations

  1. Massachusetts Eye & Ear Infirmary, Harvard Medical School Massachusetts Eye & Ear Infirmary, Boston, Massachusetts, USA

    Seanna Grob

  2. Massachusetts Eye & Ear Infirmary, Harvard Medical School Massachusetts Eye & Ear Infirmary, Boston, Massachusetts, USA

    Carolyn Kloek

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Davies, E., Yonekawa, Y. (2018). Case 6: Dehiscence of Penetrating Keratoplasty from Blunt Trauma. In: Grob, S., Kloek, C. (eds) Management of Open Globe Injuries. Springer, Cham. https://doi.org/10.1007/978-3-319-72410-2_11

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  • DOI: https://doi.org/10.1007/978-3-319-72410-2_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-72409-6

  • Online ISBN: 978-3-319-72410-2

  • eBook Packages: MedicineMedicine (R0)

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