Document Detail


Conductive keratoplasty for the treatment of astigmatism induced by corneal trauma or incision.
MedLine Citation:
PMID:  20199010     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To assess the efficacy, safety, and predictability of conductive keratoplasty for the treatment of corneal trauma/incision-induced hyperopic or compound astigmatism. METHODS: Thirteen eyes with corneal trauma/incision-induced astigmatism underwent conductive keratoplasty in this prospective study. The main outcome measures included distance uncorrected visual acuity (UCVA), near UCVA, best spectacle-corrected visual acuity (BSCVA), manifest refraction cylinder, keratometric astigmatism, manifest refraction spherical equivalent (MRSE), contrast sensitivity, glare sensitivity, intraocular pressure, tear break-up time, endothelial cell count, and pachymetry. Patients were followed 1 week and 1, 3, and 6 months postoperatively. RESULTS: Mean logMAR scores for distance UCVA, near UCVA, and BSCVA significantly improved from 0.87+/-0.31, 1.32+/-0.41, and 0.18+/-0.18, respectively, to 0.32+/-0.21, 0.59+/-0.21, and 0.08+/-0.11 (P<or=.05), respectively, 6 months after conductive keratoplasty. Mean manifest refraction cylinder, keratometric astigmatism, and MRSE significantly reduced from 4.12+/-2.86 diopters (D), 4.15+/-2.40 D, and 0.73+/-2.56 D, respectively, to 1.46+/-1.35 D, 1.66+/-1.44 D, and -0.52+/-0.99 D (P<or=.05), respectively, at 6 months postoperatively. Contrast sensitivity and glare sensitivity showed significant improvement at spatial frequencies of 1, 1.6, 2.5, 4, and 6.3 cycles per degree (P<or=.05). Surgically induced astigmatism calculated by vector analysis highly correlated to target induced astigmatism (P<or=.05). No severe complications occurred postoperatively. CONCLUSIONS: This study suggests that conductive keratoplasty is an effective and safe treatment for hyperopic or compound astigmatism after corneal trauma or incision.
Authors:
Wen Xu; Panpan Ye; Ke Yao; Jin Ma; Hesheng Xu
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-01-11
Journal Detail:
Title:  Journal of refractive surgery (Thorofare, N.J. : 1995)     Volume:  26     ISSN:  1081-597X     ISO Abbreviation:  J Refract Surg     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-03-04     Completed Date:  2010-04-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9505927     Medline TA:  J Refract Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  33-42     Citation Subset:  IM    
Copyright Information:
Copyright 2010, SLACK Incorporated.
Affiliation:
Eye Center, Second Affiliated Hospital, Zhejiang University, Hangzhou, China. xuwenhz2002@yahoo.com.cn
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Astigmatism / etiology,  surgery*
Cornea / injuries*,  surgery
Eye Injuries / complications*,  surgery
Female
Follow-Up Studies
Humans
Keratoplasty, Penetrating / methods*
Male
Middle Aged
Prospective Studies
Refraction, Ocular
Treatment Outcome
Visual Acuity
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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