AIMS To describe the fitting of patients with high or irregular astigmatism following penetrating keratoplasty with contact lenses and to answer the question whether or not contact lenses with special back surface design can improve visual acuity in complex cases after penetrating keratoplasty. METHODS 28 eyes were included. They were fitted with contact lenses with a special back surface tha...

purpose: to compare intraocular pressure (iop) readings measured by the ocular response analyzer (ora) with those measured by the goldmann applanation tonometer (gat) in keratoconic eyes following penetrating keratoplasty (pkp) and to evaluate the influence of anatomical and biomechanical properties of the grafts on iop measurements. methods: this cross-sectional study was conducted on 45 kerat...

PURPOSE To evaluate the clinical outcomes of implantation of Ferrara intrastromal corneal ring segments (ICRS) in patients with astigmatism after penetrating keratoplasty (PKP). SETTING Private clinic, Belo Horizonte, Brazil. DESIGN Retrospective consecutive case series. METHODS Chart records of post-PKP patients who had ICRS implantation from May 2005 to September 2009 were retrospective...

A successful corneal graft requires both clarity and an acceptable refraction. A clear corneal graft may be an optical failure if high astigmatism limits visual acuity. Intraoperative measures to reduce postkeratoplasty astigmatism include round and central trephination of cornea with an adequate size, appropriate sutures with evenly distributed tension, and perfect graft-host apposition. Sutur...

T he treatment of moderate to high astigmatism is challenging for the refractive surgeon. Even in experienced hands, 40% of patients who undergo penetrating keratoplasty (PKP) are left with more than 4.00 D of astigmatism.1 Spectacles, contact lenses, excimer laser ablation, toric IOLs, and tissue-relaxing procedures have been used for a long time in the treatment of preexisting and postsurgica...

Aim: To determine the changes in postkeratoplasty astigmatism induced by lamellar keratotomy. Methods: A prospective, non-randomised comparative trial of patients undergoing a hinged lamellar corneal flap for treatment of significant astigmatism after penetrating keratoplasty. Uncorrected visual acuity, best corrected visual acuity, refraction, and corneal topography were assessed at 1 and 3 mo...

AIM To determine the changes in postkeratoplasty astigmatism induced by lamellar keratotomy. METHODS A prospective, non-randomised comparative trial of patients undergoing a hinged lamellar corneal flap for treatment of significant astigmatism after penetrating keratoplasty. Uncorrected visual acuity, best corrected visual acuity, refraction, and corneal topography were assessed at 1 and 3 mo...

PURPOSE To determine the efficacy of simultaneous peripheral crescentic lamellar keratoplasty (LK) and central penetrating keratoplasty (PK) for advanced pellucid marginal degeneration (PMD). DESIGN Retrospective, noncomparative, interventional case series. PARTICIPANTS Five patients with advanced PMD. METHOD Simultaneous peripheral crescentic LK and central PK followed by selective sutur...

Endothelial keratoplasty has been adopted by corneal surgeons worldwide as an alternative to penetrating keratoplasty (PK) in the treatment of corneal endothelial disorders. Since the first surgeries in 1998, different surgical techniques have been used to replace the diseased endothelium. Compared with penetrating keratoplasty, all these techniques may provide faster and better visual rehabili...