Spontaneous corneal stromal bed perforation in post-laser-assisted in situ keratomileusis ectasia: A case report

Abstract

<br>A 30-year-old female presented to our emergency room for the first time with reduced vision in her right eye (OD) after gentle rubbing. Her ocular history revealed laser-assisted <i>in situ</i> keratomileusis in both eyes (OU) 10 years back. Five years later, she developed ectasia OU where only the right eye was cross-linked. Both procedures were performed at another center. Isolated corneal stromal bed perforation with severe surrounding stromal thinning was evident. Sole glue application either at the bed or the flap edge was not successful. The patient underwent Penetrating keratoplasty (PKP) with a good outcome.<br>