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Published on: June 12, 2012
Penetrating keratoplasty from a temporal approach
R J Smith1, A S Chayet, B J Mondino
1Beverly Hills Vision and Laser Institute, Beverly Hills, California 90211, USA. lasik@pacbell.net
American Journal of Ophthalmology
|October 12, 2000
Summary
This study introduces a temporal approach for penetrating keratoplasty, enhancing surgical exposure and simplifying suture placement. This technique may reduce surgical time and astigmatism in patients undergoing corneal transplantation.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Penetrating keratoplasty is a common corneal transplant procedure.
- Standard surgical approaches may present challenges in exposure and suture placement.
Purpose of the Study:
- To describe a novel temporal approach for performing penetrating keratoplasty.
- To evaluate the benefits of this temporal surgical technique.
Main Methods:
- Case report of two patients undergoing phakic penetrating keratoplasty.
- Surgeon positioned temporally for the procedure.
Main Results:
- The temporal approach significantly improved surgical exposure.
- Eliminated the need for a bridal suture.
- Facilitated cardinal and nasal suture placement.
Conclusions:
- The temporal approach to penetrating keratoplasty offers potential advantages.
- May lead to easier suture placement, reduced surgical duration, and decreased suture-induced astigmatism.
