Intracameral air following pneumatic noncontact tonometry in a recently post–perforating keratoplasty patient

Intracameral air following pneumatic noncontact tonometry in a recently post–perforating keratoplasty patient

Péter VámosiDepartment of Ophthalmology, Péterfy Sándor Hospital, Budapest, Department of Ophthalmology, Medical and Health Science Centre, University of Debrecen, Debrecen, HungaryPurpose: The purpose of this report is to highlight the potential risk of...

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Autor principal: Vámosi P
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2014
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Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/ec1f6ac266fc45059ec11ff3d26b6185
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spelling oai:doaj.org-article:ec1f6ac266fc45059ec11ff3d26b61852021-12-02T02:34:32ZIntracameral air following pneumatic noncontact tonometry in a recently post–perforating keratoplasty patient1177-5483https://doaj.org/article/ec1f6ac266fc45059ec11ff3d26b61852014-04-01T00:00:00Zhttp://www.dovepress.com/intracameral-air-following-pneumatic-noncontact-tonometry-in-a-recentl-a16462https://doaj.org/toc/1177-5483 Péter VámosiDepartment of Ophthalmology, Péterfy Sándor Hospital, Budapest, Department of Ophthalmology, Medical and Health Science Centre, University of Debrecen, Debrecen, HungaryPurpose: The purpose of this report is to highlight the potential risk of noncontact tonometry after routine uncomplicated penetrating keratoplasty (PK).Case report: After uncomplicated PK for keratoconus, routine noncontact tonometry was performed on the second postoperative day. In spite of the adequately closed wound and the tight suture, temporary wound dehiscence occurred, and two-thirds of the anterior chamber was occupied by air. The running suture remained intact, and the Seidel test was negative. One week postoperatively, the patient’s corrected distance visual acuity was 0.4 (0.4 logMAR), and the air bubble had absorbed.Conclusion: This is the first report to conclude that noncontact tonometry may not be sufficiently safe in the early postoperative period in normal PK cases. To prevent possible wound opening, we suggest the use of other tonometry methods during the first several months after PK.Keywords: wound dehiscence, penetrating keratoplastyVámosi PDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 763-765 (2014)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Vámosi P
Intracameral air following pneumatic noncontact tonometry in a recently post–perforating keratoplasty patient
description Péter VámosiDepartment of Ophthalmology, Péterfy Sándor Hospital, Budapest, Department of Ophthalmology, Medical and Health Science Centre, University of Debrecen, Debrecen, HungaryPurpose: The purpose of this report is to highlight the potential risk of noncontact tonometry after routine uncomplicated penetrating keratoplasty (PK).Case report: After uncomplicated PK for keratoconus, routine noncontact tonometry was performed on the second postoperative day. In spite of the adequately closed wound and the tight suture, temporary wound dehiscence occurred, and two-thirds of the anterior chamber was occupied by air. The running suture remained intact, and the Seidel test was negative. One week postoperatively, the patient’s corrected distance visual acuity was 0.4 (0.4 logMAR), and the air bubble had absorbed.Conclusion: This is the first report to conclude that noncontact tonometry may not be sufficiently safe in the early postoperative period in normal PK cases. To prevent possible wound opening, we suggest the use of other tonometry methods during the first several months after PK.Keywords: wound dehiscence, penetrating keratoplasty
format article
author Vámosi P
author_facet Vámosi P
author_sort Vámosi P
title Intracameral air following pneumatic noncontact tonometry in a recently post–perforating keratoplasty patient
title_short Intracameral air following pneumatic noncontact tonometry in a recently post–perforating keratoplasty patient
title_full Intracameral air following pneumatic noncontact tonometry in a recently post–perforating keratoplasty patient
title_fullStr Intracameral air following pneumatic noncontact tonometry in a recently post–perforating keratoplasty patient
title_full_unstemmed Intracameral air following pneumatic noncontact tonometry in a recently post–perforating keratoplasty patient
title_sort intracameral air following pneumatic noncontact tonometry in a recently post–perforating keratoplasty patient
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/ec1f6ac266fc45059ec11ff3d26b6185
work_keys_str_mv AT vaacutemosip intracameralairfollowingpneumaticnoncontacttonometryinarecentlypostndashperforatingkeratoplastypatient
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