Broken Sutures

• Broken interrupted sutures may occur spontaneously post penetrating keratoplasty.
• It may also be caused by:
  • Trauma
  • Loosening sutures
  • Degraded suture material
• Maybe complicated by:
  • Wound dehiscence and leakage
  • Suture abscess
  • Endophthalmitis

Management

• Suture removal.
• Careful assessment for wound dehiscence.
• Surgical repair or wound re-suturing to secure intraocular integrity, repair astigmatism and avoid further complications.
• Topical antibiotics.