Two cases of a penetrating keratoplasty with tissue from a donor who had undergone LASIK surgery.

Purpose: To report two cases of penetrating keratoplasty using tissue from a donor who had undergone laser-assisted in situ keratomileusis (LASIK) surgery before its transplantation.

Participants: Two patients who had penetrating keratoplasties and received donor corneas from eyes that had previous LASIK.

Intervention: The two patients underwent corneal transplantation by two different surgeons who were unaware that the donor eyes had previous LASIK treatment.

Results: Penetrating keratoplasty was completed without complication in both cases, although a separation of the corneal lamellae was noted during surgery in one of the cases. The two patients are doing well at 5.5 months postsurgery.

Conclusion: With the increasing popularity of laser refractive surgery, eye banks should increase their awareness and refine screening techniques to rule out refractive surgery in the donor corneas. The long-term follow-up of those patients will reveal if surgical success was compromised by prior refractive surgery.