Case Reports

Arcuate Keratotomy in a keratoconic cornea previously treated with PKP, three excimer laser treatments and toric IOL implantation: is it a good idea?

Case Report Details

First Author: J.Bonetto ITALY

Co Author(s):    A. Pichler   E. Pedrotti                 

Abstract Details

Purpose:

To evaluate the efficacy of arcuate keratotomy treatment in a keratoconic patient who underwent PKP 20 years ago, was treated twice with PRK after the corneal transplantation, and implanted with a toric IOL 5 years ago. UCVA was 1/10, BCVA was 2/10 before treatment

Setting:

Hospital of Merano (BZ, Italy)

Report of Case:

We performed Arcuate Keratotomy localizing our incision on the border between the recipient and donor cornea in the steep part of the cornea, we went around 500 micrometers deep (corneal pachimetry was 600 in the treated region), and we performed a cut of 3 clock-hours. We successfully achieved a regularization of the corneal astigmatism, despite we did not manage to quantitatively decrease the astigmatism amount. The UCVA increased to 2/10, BCVA increased to 3/10.

Conclusion/Take Home Message:

Arcuate keratotomy can be considered a useful technique to improve corneal astigmatism in patients who previously underwent PKP, excimer laser treatment and toric IOL implantation.

Financial Disclosure:

None