Traumatic Loss of a Healed Corneal Button

A 30-year-old man with a 14-year history of a prior penetrating keratoplasty (PKP) presented with an open globe following a motor vehicle collision (Fig 1). Complete dehiscence of his corneal graft at the graft host junction was observed with uveal tissue protrusion. Computed tomography imaging (Fig 2, arrow) demonstrated the absence of the corneal graft. An attempt to close the globe was followed by an enucleation (Fig 3). Histopathology (H&E) confirmed the absence of the corneal graft and revealed suture material (Fig 4, arrow) in the host cornea and prolapsed uveal tissue.