Spontaneous Wound Dehiscence After Early Suture Removal After Deep Anterior Lamellar Keratoplasty

Abstract

A spontaneous WD can be seen after complete removal of nonabsorbable suture during early months after DALK. Timely management can give good visual results.

Traumatic Wound Dehiscence Associated with Graft Loss Following Deep Anterior Lamellar Keratoplasty

“…Although removal of running sutures may cause mild injury to the corneal epithelium at the host-graft junction, no damage to either the corneal stroma or the DM was observed here. Similar case was reported recently by Mannan et al [6]. While suture removal was performed relatively early in postoperative period in their case, we removed the suture after 21 months following DALK.…”

“…Another advantage of DALK over PKP is the maintenance of better globe integrity, leaving the eyes less susceptible to trauma [1]. In fact, only few cases of traumatic wound dehiscence have been reported following DALK [2][3][4][5][6][7]. Here, we report two unusual cases of wound dehiscence associated with graft loss following uneventful DALK.…”

“…This was also the case in Case 2, which demonstrated well preserved ocular integrity with remaining intact DM. There are four previous case reports of graft dehiscence without DM perforation after anterior lamellar keratoplasty with excellent visual prognoses [3][4][5][6].…”

Management of traumatic wound dehiscence of a functional graft 34 years after penetrating keratoplasty

“…Wound dehiscence has also been reported after deep anterior lamellar keratoplasty,2 cataract surgery,3 penetrating globe injury and radial keratotomy 4. Trauma is the most common cause for dehiscence followed by early suture removal2 and increased intraocular pressure. The functional outcome in most of these post traumatic cases depends on the extent of damage to the ocular structures, especially the lens and posterior segment.…”

Penetrating Keratoplasty for Perforated Corneal Ulcers Under Topical Anesthesia

“…2 In large perforations, the use of retrobulbar, or peri/parabulbar anesthesia is avoided because this may lead to a prolapse of the intraocular contents, that is, autoevisceration. 12 We have demonstrated the use of topical anesthesia for minor corneal repairs including ruptured transplant wounds. 12 We have demonstrated the use of topical anesthesia for minor corneal repairs including ruptured transplant wounds.…”