Fig. (1) (A) Slit-lamp photograph: perforation of the nasal cornea sealed with iris tissue and collapse of the anterior chamber in a 93-year-old woman. (B) Postoperative appearance: a deep anterior chamber has reformed at one day after penetrating keratoplasty. (C-E) At 1 year postoperatively, the cornea at the surgical site shows complete healing and re-epithelialization, along with mild thinning and stromal opacity at the site of the previous corneoscleral melt.