PURPOSE To develop a nomogram for femtosecond laser astigmatic keratotomy (AK) to treat post-keratoplasty astigmatism. SETTING Three academic medical centers. DESIGN Retrospective interventional case series. METHODS A review of post-keratoplasty femtosecond laser AK was performed. Uncorrected (UDVA) and corrected (CDVA) distance visual acuities, manifest refraction, and keratometry were r...

mated Bowman layer preparation with a 90to 100-mm-thick donor lamella of anterior stroma (instead of an 8to 12-mm-thick isolated Bowman layer graft). In our experience, the presence of donor stroma seems to degrade the optical quality of the transplanted cornea (as Descemet stripping endothelial keratoplasty/Descemet stripping automated endothelial keratoplasty grafts containing donor stroma ma...

PURPOSE To report a case of Candida keratitis following penetrating keratoplasty in a patient with Candidiasis of the fingernails. CASE REPORT An 80 year-old male presented with recurrent Candida keratitis following penetrating keratoplasty. Patient was found to have evidence of Candidiasis of the fingernails. COMMENT Candidiasis of the fingernails have led to recurrent fungal keratitis fol...

Penetrating keratoplasty is the replacement of a diseased cornea with a full-thickness donor graft. In the last century, this 'gold standard' procedure was long established as the treatment of choice for various corneal diseases. The classical indications for a penetrating keratoplasty entailed optical, tectonic, therapeutic, and cosmetic issues. Over the past decade however, surgical advances ...

The concept of lamellar keratoplasty (LK) is not new. However, newer forms of lamellar keratoplasty techniques have emerged in the last decade or so revolving around the concept of targeted replacement of diseased corneal layers. These include anterior lamellar keratoplasty (ALK) techniques that aim to selectively replace diseased corneal stroma and endothelial keratoplasty techniques aiming to...

PURPOSE To report the explantation of a detached and opaque donor disc as an alternative to secondary keratoplasty in a case of persistent graft detachment followed by spontaneous clearance of the recipient cornea after non-Descemet stripping automated endothelial keratoplasty (non-DSAEK). RESULTS Four months after graft explantation, BSCVA was 0.5 and endothelial cell density (ECD) was 1,221...

NOVEMBER/DECEMBER 2010 CATARACT & REFRACTIVE SURGERY TODAY EUROPE 23 F ull-thickness penetrating keratoplasty (PKP) has been the preferred corneal transplantation technique since the procedure was first described in 1905 by Eduard Zirm.1 Today, PKP generally results in clear corneal grafts, with a graft survival rate of up to 72% at 5 years.2 However, the procedure is frequently complicated by ...