By J. Fernando Arevalo, MD, FACS; Saba Al Rashaed, MD
    AAO 2014

    The cornea transplantation represents, for the eye, a weak point, and in cases of closed trauma, the opening is always at the level of the corneal scar. The immediate opening of the cornea provokes the expulsion of the ocular content. This video shows an approach 7 days after the trauma. After a 23-gauge infusion in the anterior chamber, the suprachoroidal hemorrhage (SCH) is drained through a 23-gauge transconjunctival trocar. Overcoming a taboo of the eye reopening after SCH, the surgeon decided to remove the cornea, assuming the risk of rebleeding. In this way, it was possible to free the incarcerated iris with the vitreous from the injury site and clean the anterior part of the vitreous. After a complete vitrectomy and prior to a new penetrating keratoplasty and heavy silicone tamponade, a retropupillary IOL implant in open sky was made thanks to a TKP.