{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T02:27:52Z","timestamp":1740104872190,"version":"3.37.3"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,7,6]],"date-time":"2017-07-06T00:00:00Z","timestamp":1499299200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:p>A traumatic wound dehiscence can occur many years after surgery in 2\u20136% of all keratoplasties. Intraocular tissue prolapse can lead to severe visual loss. Deep anterior lamellar keratoplasty (DALK) leads to higher wound stability because of the intact Descemet membrane. We report a case of a novel management of wound dehiscence following DALK. A 59\u2010year\u2010old patient underwent uncomplicated DALK for advanced keratoconus. Eighteen months later he experienced a traumatic wound dehiscence (globe rupture) after a fall. Visual acuity decreased to light perception on the affected eye, the iris and prolapsed vitreous were incarcerated, and no retinal details were recognizable. The corneal graft was dehiscent over eight clock hours, the Descemet membrane was ruptured, and the stroma dissolved over 30% of its surface in a bell shape. Primary wound closure was performed with nylon 10\u20100 single interrupted corneal sutures. One day after emergency treatment, a 23\u2010gauge pars\u2010plana\u2010vitrectomy for vitreous hemorrhage was conducted and a retinal tear was treated with laser photocoagulation. The Descemet membrane was repositioned using a 23 g vitrectomy probe under air and the globe was filled with SF<jats:sub>6<\/jats:sub> gas. Postoperatively, visual acuity increased to 6\/15 and the cornea cleared up. Corneal graft and Descemet membrane repositioning after trauma can avoid a further keratoplasty and the risk of immunological rejection of donor endothelial cells.  Clin. Anat. 31:56\u201359, 2018. \u00a9 2017 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ca.22924","type":"journal-article","created":{"date-parts":[[2017,5,27]],"date-time":"2017-05-27T07:58:52Z","timestamp":1495871932000},"page":"56-59","source":"Crossref","is-referenced-by-count":0,"title":["Traumatic globe rupture after deep anterior lamellar keratoplasty\u2014A novel management technique"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7868-5167","authenticated-orcid":false,"given":"Miltiadis","family":"Fiorentzis","sequence":"first","affiliation":[{"name":"Department of Ophthalmology University Hospital Halle (Saale), Martin\u2010Luther University Halle\u2010Wittenberg Halle (Saale) Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"B\u00e4urle","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Saarland University Medical Center Homburg\/Saar 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