Case ReportTraumatic Graft Dehiscence After Anterior Lamellar KeratoplastyPrasher, Pawan MD; Muftuoglu, Orkun MD; Mootha, V Vinod MDAuthor Information From the Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, TX. Received for publication March 24, 2008; revision received July 1, 2008; accepted July 3, 2008. Reprints: Pawan Prasher, Department of Ophthalmology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9057 (e-mail: [email protected]). Cornea: February 2009 - Volume 28 - Issue 2 - p 240-242 doi: 10.1097/ICO.0b013e318187547b Buy Metrics Abstract A 64-year-old man underwent anterior lamellar keratoplasty using the Melles technique for corneal scar secondary to healed bacterial keratitis in the left eye. Two months postoperatively, the patient presented with blurry vision in the left eye after a fall in the bathroom. The uncorrected visual acuity was 20/400 in the left eye, and the external examination showed periorbital swelling with ecchymosis. Slit-lamp examination revealed an absent graft, a circular crater in the center, and a fragment of suture on the temporal edge of the crater. The Seidel test was negative, and there was no sign of infection. The anterior segment optical coherence tomography showed intact residual stroma with slight forward protrusion. The patient underwent repeat anterior lamellar corneal transplantation with improvement in uncorrected visual acuity of 20/100 and best spectacle-corrected visual acuity of 20/70 in the left eye 3 months postoperatively. Copyright © 2009 Wolters Kluwer Health, Inc. All rights reserved.