Spontaneous wound dehiscence after removal of single continuous penetrating keratoplasty suture: Conservative management

Marta Ugarte, Michael G. Falcon

    Research output: Contribution to journalArticlepeer-review

    Abstract

    PURPOSE: To describe a case of spontaneous wound dehiscence (WD) following removal of single continuous penetrating keratoplasty (PKP) suture, who was treated conservatively with a bandage contact lens. METHODS: A 36 year-old man who had penetrating keratoplasty for keratoconus 15 months earlier and removal of the single continues suture the previous week underwent ocular examination. He was treated with topical dexamethasone 0.3%, chloramphenicol 0.5% and cyclopentolate 1% 3 times a day and had a bandage contact lens (BCL) inserted. RESULTS: On presentation, he was complaining of reduced vision, tearing and pain following an attack of rhinitis-induced sneezing. His visual acuity (VA) in the affected eye was counting fingers, the anterior chamber was formed, the intraocular pressure (IOP) was low and there was a 2-clock-hour WD with a positive Seidel test but no iris incarceration. Two months later, his corrected VA was 6/5, his IOP was normal and the graft-host junction was good with no uplift. CONCLUSIONS: A 2-clock-hour WD after single continuous PKP suture removal may be conservatively treated with a BCL. © 2006 Lippincott Williams & Wilkins, Inc.
    Original languageEnglish
    Pages (from-to)1260-1261
    Number of pages1
    JournalCornea
    Volume25
    Issue number10
    DOIs
    Publication statusPublished - Dec 2006

    Keywords

    • Bandage contact lens
    • Keratoconus
    • Penetrating keratoplasty
    • Wound dehiscence

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