Topping T M, Stark W J, Maumenee E, Kenyon K R
Br J Ophthalmol. 1982 Mar;66(3):174-8. doi: 10.1136/bjo.66.3.174.
Four young male patients with keratoconus had traumatic dehiscence of the surgical wound after penetrating keratoplasty. Two were rendered aphakic by the trauma, and in one patient the lens was dislocated posteriorly. In each case the dehiscence was repaired by resuturing the original corneal graft. Despite marked corneal oedema in the immediate postoperative period all four grafts deturgesced and subsequently cleared. The follow-up has been a minimum of 23 months. We recommend therefore primary resuturing of traumatic wound dehiscence after keratoplasty, anterior vitrectomy if the lens dislodged, and prophylactic antibiotics postoperatively. The clearing of the initially oedematous grafts in each case illustrates the resilience of the corneal endothelium.
四名圆锥角膜年轻男性患者在穿透性角膜移植术后出现手术伤口外伤性裂开。其中两名因外伤导致无晶状体，一名患者晶状体向后脱位。在每种情况下，通过重新缝合原角膜移植片修复裂开。尽管术后即刻角膜明显水肿，但所有四个移植片均消肿并随后恢复透明。随访时间至少为23个月。因此，我们建议对角膜移植术后外伤性伤口裂开进行一期重新缝合，晶状体脱位时行前部玻璃体切除术，并在术后使用预防性抗生素。每个病例中最初水肿的移植片恢复透明，说明了角膜内皮的恢复能力。
