Corneal transplant utilizing a corneal graft that had undergone laser surgery--case report

Report on a successful clinical case of a corneal penetrating keratoplasty using inadvertently a corneal graft that had undergone laser assisted in situ keratomileusis (LASIK). Review of a clinical case of a patient of the Cornea Department of the "Hospital Oftalmológico de Sorocaba" who underwent a penetrating keratoplasty (PK) to correct keratoconus in his left eye. A corneal graft from a donor who had LASIK surgery was used. Surgery was completed without complications, although a separation of the corneal lamellae was noted during surgery. Patient evolution was good with a final corrected visual acuity of 20/40. PAM was also 20/40. Epithelial growth was noticed on the flap interface, although, without progression of this finding. Eye Banks should improve screening techniques to rule out refractive surgery in the donor corneas; there was no impairment of the final result of this transplant until the 6th month after surgery; long-term follow-up is necessary to reveal if surgical success was impaired by prior refractive surgery.