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[Epikeratophakia surgery for refractive errors and keratoconus].

I Avni, M Cahane, M Blumenthal

    Harefuah
    |November 15, 1989
    PubMed
    Summary
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    Epikeratophakia surgery uses a prelathed corneal tissue graft to correct refractive errors like myopia and hyperopia, and keratoconus. This reversible procedure showed significant visual improvement with no major complications in 27 eyes.

    Area of Science:

    • Ophthalmology
    • Corneal Surgery
    • Refractive Error Correction

    Context:

    • Epikeratophakia is an extraocular surgical technique.
    • It involves suturing a prelathed corneal tissue graft onto the recipient cornea.
    • This procedure can correct various refractive errors and corneal conditions.

    Purpose:

    • To evaluate the efficacy and safety of epikeratophakia surgery.
    • To assess outcomes in patients with myopia, aphakia, and keratoconus.
    • To determine the potential of this technique for refractive correction.

    Summary:

    • Twenty-seven eyes of 25 patients underwent epikeratophakia for myopia (11), aphakia (7), or keratoconus (7).
    • Significant refractive correction was achieved: myopia improved from -18.3D to -1.9D, and hyperopia from +10.9D to +1.1D.

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  • Marked improvement was also noted in the keratoconus group, with no major surgical complications.

    • Impact:

    • Epikeratophakia offers a reversible and technically straightforward surgical option.
    • The procedure is non-immunogenic and suitable for patients intolerant to contact lenses or contraindicated for intraocular lens implantation.
    • It demonstrates good results for specific refractive errors and keratoconus, expanding treatment possibilities.