Nondisplacement of descemet stripping automated endothelial keratoplasty lenticule after traumatic rupture of the globe

Purpose: The purpose of this study was to report a case of nondisplacement of an endothelial keratoplasty (EK) lenticule after traumatic rupture of the globe. Methods: The authors conducted a review of the clinical course of a 35-year-old woman who sustained a traumatic rupture of the globe 4 months after Descemet stripping endothelial keratoplasty. Results: The rupture did not involve the 4-month-old temporal scleral tunnel wound used for the EK. The lenticule was attached despite the injury and remained so in the postoperative course. Conclusions: Blunt trauma after endothelial keratoplasty can result in the disruption of the operative wound and lenticule dislocation. However, in our case, the rupture site did not involve the surgical wound, and the lenticule remained attached throughout the trauma, the surgical repair of the ruptured globe, and the postinjury course. This case illustrates the potential strength of EK wounds and the strength of adhesion of the transplanted lenticule and poses unanswered questions about the process of wound healing and attachment of donor lenticules in EK cases.