Ruptured globe 10 years after radial keratotomy.

PURPOSE: To report 3 cases (3 eyes) of globe rupture following blunt trauma 10 to 13 years after radial keratotomy.

METHODS

Cases of traumatic ruptured globe after radial keratotomy were reviewed from a tertiary eye care center. One eye underwent therapeutic penetrating keratoplasty, the second was treated with a bandage contact lens, and the third developed retinal detachment leading to phthisis bulbi.

RESULTS

Ruptured globes occurred through the keratotomy incision during activities of daily living (1 eye), assault (1 eye), and sports (1 eye). Two eyes regained a visual acuity of 20/30 or better; 1 eye was lost.

CONCLUSION

Traumatic rupture of the cornea can occur more than 10 years after radial keratotomy.