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Update on epikeratoplasty.

B D Fouraker¹, D J Schanzlin

¹Bethesda Eye Institute, St Louis University School of Medicine, Mo. 63110.

Refractive & Corneal Surgery

|January 1, 1991

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Epikeratoplasty, a corneal surgery, reshapes the eye's surface with a tissue lens. Studies suggest limiting this procedure to keratoconus and aphakic patients intolerant to conventional lenses.

Area of Science:

Ophthalmology
Corneal Surgery
Refractive Surgery

Background:

Epikeratoplasty involves adding a tissue lens to alter corneal surface topography.
This surgical technique has been explored for treating conditions like keratoconus, myopia, and aphakia.

Purpose of the Study:

To evaluate the efficacy and appropriate patient population for epikeratoplasty.
To determine the optimal indications for this corneal surgical procedure.

Main Methods:

Review of large-scale studies on epikeratoplasty outcomes.
Analysis of patient data for keratoconus, myopia, and aphakia treated with epikeratoplasty.

Main Results:

Epikeratoplasty effectively modifies corneal topography.

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The procedure shows promise primarily for specific patient groups.

Conclusions:

Current evidence suggests epikeratoplasty is best suited for keratoconus patients.
Aphakic patients with intolerance to spectacles and contact lenses are also suitable candidates for epikeratoplasty.