What question did this study set out to answer?

To evaluate the efficacy and safety of combining circular keratotomy with wedge resection to correct high astigmatism following penetrating keratoplasty.

June 26, 2018Eye & Contact Lens Science & Clinical Practice

Circular Keratotomy Combined With Wedge Resection in the Management of High Astigmatism After Penetrating Keratoplasty

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To evaluate the efficacy and safety of combining circular keratotomy with wedge resection to correct high astigmatism following penetrating keratoplasty.
Interventional case series evaluating 7 eyes of 7 patients with high astigmatism after penetrating keratoplasty undergoing circular keratotomy combined with wedge resection.
Follow-up averaged 18.42±8.56 months (range 12–33 months), tracking visual acuity, spherical equivalent refraction, corneal topography, and vector analysis.
Mean corneal astigmatism decreased from 15.11±5.48 D (range 10.0–24.4 D) preoperatively to 4.98±3.01 D (range 2.2–9.6 D) postoperatively.
Uncorrected visual acuity, best-corrected visual acuity, and spherical equivalent improved in all eyes, with a mean surgically induced astigmatism of 12.87±6.20 D.
Suture loosening was the most frequent complication, occurring in 5 eyes within 2 months postoperatively.

Authors

HÇHanefi ÇakırBursa Uludağ Üni̇versi̇tesi̇SGSelim GençOkan University EGEmre GülerTurkish Society of Hematology

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Implication

Case series shows circular keratotomy with wedge resection reduces severe post-penetrating keratoplasty astigmatism, indicating an effective surgical approach for corneal reshaping.

Cite This Study

Çakır et al. (2018) studied this question.

synapsesocial.com/papers/6a6f575c35aa2c282ce0b7eb https://doi.org/10.1097/icl.0000000000000502

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Implication

Case series shows circular keratotomy with wedge resection reduces severe post-penetrating keratoplasty astigmatism, indicating an effective surgical approach for corneal reshaping.

Circular Keratotomy Combined With Wedge Resection in the Management of High Astigmatism After Penetrating Keratoplasty

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Discussion

Implication

Cite This Study

Circular Keratotomy Combined With Wedge Resection in the Management of High Astigmatism After Penetrating Keratoplasty

Key Points

Discussion

Implication

Cite This Study

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