Cornea & External Diseases-Penetrating Keratoplasty

Broken interrupted suture with covering mucous strands 5 months after penetrating keratoplasty.

Broken interrupted sutures may occur spontaneously post penetrating keratoplasty.
It may also be caused by:
- Trauma
- Loosening sutures
- Degraded suture material
May be complicated by:
- Wound dehiscence and leakage
- Suture abscess
- Endophthalmitis
Management:
- Suture removal.
- Careful assessment for wound dehiscence.
- Surgical repair or wound re-suturing to secure intraocular integrity, repair astigmatism and avoid further complications.
- Topical antibiotics.

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