Corneal perforation and decompensation after automated lamellar keratoplasty for hyperopia
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Updated: Oct 8, 2026

Corneal Donor Tissue Preparation for Endothelial Keratoplasty
Published on: June 12, 2012
E A Ansari1, A J Morrell, K Sahni
1Department of Ophthalmology, St. Jame's University Hospital, Leeds, England.
Abstract:
We describe a case of corneal perforation and decompensation after automated lamellar keratoplasty (ALK) in a middle-aged hyperopic man who had had unsuccessful holmium laser thermokeratoplasty. The corneal decompensation responded to gluing and application of a bandage contact lens but despite treatment, the corneal flap remained precariously poised with a localized area of thinning that is predisposed to future perforation and decompensation. This case highlights the potential for serious complications and subsequent visual morbidity after ALK.
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