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Corneal lenticular wrinkling after automated lamellar keratoplasty

Authors
Journal
American Journal of Ophthalmology
0002-9394
Publisher
Elsevier
Publication Date
Volume
126
Issue
4
Identifiers
DOI: 10.1016/s0002-9394(98)00130-5

Abstract

Abstract PURPOSE: To report complications of automated lamellar keratoplasty in two eyes of two patients. METHODS: Case reports. Two eyes of two patients underwent automated lamellar keratoplasty for myopia. Both patients complained of visual distortion and glare in the postoperative eye. RESULTS: The postoperative eye of both patients showed evidence of wrinkling of the corneal lenticule accompanied by irregular astigmatism. Patient 1 showed persistent lenticular wrinkling and corneal scarring 2.5 years later. Patient 2 showed evidence of interface scar and overcorrection. CONCLUSION: The use of a microkeratome can be complicated by lenticular displacement and wrinkling, resulting in visual aberration for the patient.

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