Optical penetrating keratoplasty using a living donor eye

Keratoplasty is a common surgical procedure for correcting corneal opacity-induced blindness. Typically, donor corneas are sourced from deceased individuals. Live donation is rare, due to potential donor blindness, except in exceptional circumstances. We present a case of an optical penetrating keratoplasty performed using a cornea from a live donor in his late 40s who had complete traumatic auto-enucleation of the eyeball following a road traffic accident. This shows us that live donations can be considered in specific circumstances, such as traumatic avulsion of the globe with an intact cornea, rendering the eye non-salvageable.