AI Article Synopsis
- The study presents a technique for anterior lamellar keratoplasty using an automated microkeratome to address complications from LASIK and PRK.
- Ten eyes with post-surgery complications were treated successfully, with lamellar grafts secured by only four sutures.
- Visual acuity improved in all cases, and additional astigmatism and refractive issues were corrected, further enhancing visual outcomes.
Article Abstract
Purpose: To demonstrate a technique of anterior lamellar keratoplasty with standardized and automated preparation of surface-parallel cuts in both donor and recipient appropriate for addressing several problems after laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK).
Methods: We report a noncomparative series of ten eyes with complications after LASIK and PRK. Lamellar cuts were performed in donor and recipient eyes by means of an automated microkeratome. Lamellar grafts were fixed by only four single sutures. In two eyes, a re-lift LASIK was performed after 6 months.
Results: Surgery was uneventful and visual acuity was improved in all eyes. Residual irregular astigmatism and refractive error were corrected in two eyes by means of excimer laser computer-assisted ablation and resulted in a further improvement of uncorrected and best spectacle-corrected visual acuity.
Conclusions: Anterior lamellar keratoplasty with a microkeratome can be used for the management of certain complications of PRK and LASIK.
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| http://dx.doi.org/10.3928/1081-597X-20030101-11 | DOI Listing |
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