Staged Penetrating Sclerokeratoplasty and Penetrating Keratoplasty for Management of Advanced Acquired Anterior Staphyloma

Herein we describe a staged surgical technique consisting of penetrating sclerokeratoplasty (pskp) followed by penetrating keratoplasty (pkp) and present its clinical course and complications over two years of follow-up. a 23-year-old man presented with cosmetically unacceptable protrusion of the globe corresponding to the cornea and sclera. pskp was performed transplanting a full-thickness beveled 13 mm corneoscleral tectonic graft. hypotony developed subsequently and was successfully managed medically, however corneal graft failure occurred. after 15 months, a 7.5 mm pkp was performed for optical reasons, which subsequently remained clear with a healthy epithelium. in this particular case, cosmetic, tectonic, therapeutic, and optical requirements were met. pskp is a surgical procedure which entails a high rate of complications but may be the only alternative when the main goal of intervention is restoration of the globe in complicated cases such as our patient.