Post-traumatic dehiscence after corneal graft at the Ophthalmology Clinic of Aristide Le Dantec Hospital in Dakar

Post-traumatic dehiscence is a rare condition often compromising the visual outcome of transplanted patients. It can occur after transfixing keratoplasty even after low-energy trauma. We here report two cases of patients with a history of keratoplasty, admitted to the hospital with painful red eye d...

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Bibliographic Details
Published in:The Pan African medical journal 2020-09, Vol.37, p.23
Main Authors: Ndiaye, Joseph Matar Mass, Sow, Aboubacry Sadikh, Kane, Habsa, Diagne, Jean Pierre, Wane, Aïssatou Magatte, Ka, Aly Mbarka, Ba, Elhadji Amadou, Roth, Paule Aida Ndoye
Format: Article
Language:fre
Subjects:
Corneal Diseases - surgery
Corneal Transplantation
Eye Injuries - surgery
Humans
Male
Middle Aged
Retinal Detachment - etiology
Senegal
Surgical Wound Dehiscence - pathology
Visual Acuity
Young Adult
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Summary:Post-traumatic dehiscence is a rare condition often compromising the visual outcome of transplanted patients. It can occur after transfixing keratoplasty even after low-energy trauma. We here report two cases of patients with a history of keratoplasty, admitted to the hospital with painful red eye due to trauma. Patients' assessment objected decrease in visual acuity, subtotal graft displacement and major ocular hypotonia. After symptomatic medical treatment, they underwent surgical repair after 16 hours and 72 hours respectively. Visual prognosis was better in patient 2, who reported proper visual acuity. In patient 1 visual acuity didn't improve due to the severity of graft damage and the associated retinal detachment. The purpose of this study was to highlight the poor outcome of patients with ocular trauma after corneal graft. Prognosis was determined by survival, feasibility of grafting and the presence of associated lesions. Education, information and communication campaigns to raise awareness of this condition, especially among young patients, is the best way of preventing it.
ISSN:1937-8688
DOI:10.11604/pamj.2020.37.23.22385