Wound dehiscence by blunt trauma in eyes with previous penetrating keratoplasty Junko Bandoh 1 , Norihiko Yokoi 1 , Chie Sotozono 1 , Tsutomu Inatomi 1 , Yoichiro Sano 1 , Shigeru Kinoshita 1 , Koji Nishida 2 1Dept of Ophthalmol,Kyoto Pref Univ of Med 2Dept of Ophthalmol,Osaka Univ Med Sch pp.617-622
Published Date 2004/4/15
DOI https://doi.org/10.11477/mf.1410101087
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We reviewed 10 eyes of 10 cases that had received penetrating keratoplasty in the past and that developed wound dehiscence following accidental blunt trauma. Their ages ranged from 18 to 81 years,average 54.5 years. The interval between keratoplasty and blunt trauma ranged from 11months to 20 years,average 5 years 5months. Dehiscence involved one to three quadrants along the wound of keratoplaty. Luxation of crystalline or intraocular lens developed in 6 eyes. Vitreous hemorrhage occurred in 5 eyes. Retinal detachment resulted in 1 eye. At the last follow-up,the graft remained transparent in 4 eyes. Phthisis bulbi involved 3 eyes. Only one patient took adequate care to avoid eye injury. Wound dehiscence by accidental trauma in eyes with previous penetrating keratoplasty tends to result in poor outcome. We ought to advocate patients and their family to try to prevent accidental injury.

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