gms | German Medical Science

21st Annual Meeting of the German Retina Society and 8th Symposium of the International Society of Ocular Trauma (ISOT)

German Retina Society
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

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The site of traumatic versus spontaneous wound dehiscence after penetrating keratoplasty

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  • Dusica Pahor - Maribor/Slovenia
  • T. Gracner - Maribor/Slovenia
  • B. Gracner - Maribor/Slovenia

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008V056

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/rg2008/08rg058.shtml

Published: June 18, 2008

© 2008 Pahor et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Background: Patients following penetrating keratoplasty (PK) remained at risk for wound dehiscence at the graft-host junction even years after surgery. The aim of our study was firstly to assess the quadrant specificity between traumatic and spontaneous wound dehiscence at the graft-host junction and secondly to determine the incidence of traumatic and spontaneous wound dehiscence.

Methods: The medical records of all 170 patients who underwent a penetrating keratoplasty from March 1,1996 to April 30, 2006 were retrospectively reviewed. During a 10-year period 10 eyes showed signs of open wound dehiscence after blunt ocular trauma or spontaneously after the removal of penetrating keratoplasty suture.

Results: Over the 10-year period, the incidence of traumatic wound dehiscence was performed was 2.35% (4 from 170 patients) and the incidence of spontaneous wound dehiscence after suture removal 3.53% (6 from 170 patients). In traumatic wound dehiscence separation occurred in 76.2% at the nasal part, in spontaneous wound dehiscence in 71.3% at the temporal part. Except in 1 eye, all of the resutured grafts retained clarity.

Conclusions: Quadrant specificity for dehiscence was observed with the involvement of the nasal part in traumatic wound dehiscence as a result of indirect, contre-coup type of forces, and of the temporal part in spontaneous wound dehiscence probably due to direct forces.