Therapeutic deep lamellar keratoplasty for cornea perforation

Purpose: To present the efficacy of performing deep lamellar keratoplasty as an emergency measure following perforation of the cornea. Design: Interventional case report. Methods: Deep lamellar keratoplasty was performed in two cases of perforated cornea. Following incarceration of the iris within the perforated area, The Descemet membrane was exposed except for strands of stroma surrounding the perforation. A fresh donor cornea stripped of the Descemet membrane was then sutured in place. Results: Both cases have attained clear corneas in areas other than the original perforation. Conclusions: Deep lamellar keratoplasty is a safe technique for the treatment of cornea perforation.