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Arch Ophthalmol. 2005;123:853-856.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Penetrating keratoplasty wound dehiscence usually occurs early in the postoperative period and is associated with premature suture removal, abnormal wound healing, sudden increases in intraocular pressure, corneal edema, and trauma.^1-2 Binder et al¹ noted in their series an incidence of full-thickness wound separation or partial wound gape of 5.7%; all cases occurred within the first 2 years following the initial surgery. Penetrating keratoplasty wound separation infrequently develops late in the postoperative course and usually results from direct trauma.² In a series by Raber et al³ on traumatic wound dehiscence following penetrating keratoplasty, all cases occurred within 18 months of the initial surgery. However, one of the most recent cases of traumatic penetrating keratoplasty wound dehiscence reported in the American literature occurred 13 years after initial surgery.⁴ In the European literature, Rohrbach et al⁵ noted one case occurring 25 years after grafting.

At the Wilmer Eye Institute (Baltimore, Md), we followed . . . [Full Text of this Article]

Report of Cases


COMMENT

AUTHOR INFORMATION
Damon J. Pettinelli, MD; Christopher E. Starr, MD; Walter J. Stark, MD