[Treatment of explosion injury in 30 eyes by keratoplasty]

26 cases (30 eyes) of explosion injury were treated by keratoplasty, with the results that 70% of the grafts were clear, 50% escaped blindness, and a total of 76% had their vision improved. In nine cases of severe injury in the anterior segment with little light perception, reconstructive keratoplasty was performed to keep the eyeballs successfully in seven cases, among whom five cases obtained transparent grafts. The procedure included partial keratectomy, iridectomy, lensectomy, anterior vitrectomy, keratoplasty, and reconstruction of the anterior chamber to restore cosmetic shape of the eyeball. The author deemed keratoplasty valuable in the treatment of ocular explosion injury.