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August 1992

Corneal-Graft Dehiscence Secondary to Suction-Cup Device Use for Contact Lens Removal

Author Affiliations

Washington, DC

Arch Ophthalmol. 1992;110(8):1050-1051. doi:10.1001/archopht.1992.01080200030012

Dehiscence following penetrating keratoplasty (PK) occurs most commonly as a result of blunt trauma.1,2 We report a case of graft dehiscence associated with a suction-cup device (SCD) used to remove contact lenses (CLs).

Report of a Case.  —An 85-year-old man underwent repeated PK in the left eye in June 1989 for pseudophakic bullous keratopathy. The postoperative course was unremarkable and all sutures were removed by July 1991. Due to irregular astigmatism, best visual acuity with eyeglasses was 20/200 OS. A rigid gas-permeable CL was prescribed and visual acuity improved to 20/60. After two instruction sessions the patient was able to insert the lens, but removal could not be mastered, and his 79-year-old wife was given instructions on use of the SCD. On the day he went home wearing his CL, the patient returned, complaining of pain and poor visual acuity. He reported that his wife had difficulty trying to

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