• Am. J. Ophthalmol. · Jul 1995

    Case Reports

    Rupture of radial and arcuate keratotomy scars by blunt trauma 91 months after incisional keratotomy.

    • B L Lee, E E Manche, and B J Glasgow.
    • Jules Stein Eye Institute, Los Angeles, CA 90024, USA.
    • Am. J. Ophthalmol. 1995 Jul 1;120(1):108-10.

    Purpose/MethodsWe studied a case in which blunt trauma caused dehiscence of radial and arcuate corneal scars 91 months after incisional keratotomy. The ruptured incisions did not extend beyond the corneoscleral limbus.Results/ConclusionsIncisional refractive surgery renders the cornea susceptible to blunt traumatic rupture. This vulnerability results from the intrinsic weakness of the keratotomy wounds. Our case documents that this weakness persists up to 91 months after the operation.

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