Document Detail

Results of a graded relaxing incision technique for post keratoplasty astigmatism.
MedLine Citation:
PMID:  3054677     Owner:  NLM     Status:  MEDLINE    
A technique of graded relaxing incisions and compression sutures was performed for correction of post keratoplasty astigmatism in six patients who were spectacle and contact lens intolerant. Correction was achieved in all six patients after surgery, five with spectacles and one with a contact lens. Keratometric astigmatism decreased from an average of 9.63 diopters preoperatively to 2.17 D postoperatively, a reduction of 7.46 D, or 77%. Up to 13.50 D of correction was obtained. In general, the effect of surgery progressed from 1 week to 3 months postoperatively, and regressed from 3 to 6 months. Complications included perforation in two patients, one requiring suturing and application of tissue adhesive, and graft reaction in two patients. Although the number of patients is small, it appears that this technique can successfully reduce post keratoplasty astigmatism, even in excess of 10 D.
R C Arffa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ophthalmic surgery     Volume:  19     ISSN:  0022-023X     ISO Abbreviation:  Ophthalmic Surg     Publication Date:  1988 Sep 
Date Detail:
Created Date:  1988-12-15     Completed Date:  1988-12-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0241035     Medline TA:  Ophthalmic Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  624-8     Citation Subset:  IM    
Eye and Ear Institute, University of Pittsburgh School of Medicine, Pennsylvania 15213.
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MeSH Terms
Astigmatism / etiology*,  physiopathology,  surgery
Contact Lenses
Corneal Transplantation*
Middle Aged
Postoperative Complications*
Suture Techniques / adverse effects

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

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