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Techniques of noncircular corneal transplantation
Rashmi Deshmukh1, Louis J Stevenson2, Rasik B Vajpayee2,3,4
1Division of Ophthalmology and Visual Sciences, Eye ENT Centre, Queens Medical Centre, University of Nottingham, UK.
Current Opinion in Ophthalmology
|May 16, 2020
Summary
Noncircular corneal grafts offer a promising solution for challenging peripheral corneal diseases, improving both structural support and vision with favorable outcomes. Further research is needed to fully understand their benefits.
Area of Science:
- Ophthalmology
- Corneal Surgery
Background:
- Peripheral corneal diseases present significant management challenges.
- Traditional circular grafts often lead to excessive tissue removal or high astigmatism.
Purpose of the Study:
- To review noncircular keratoplasty procedures for peripheral corneal diseases.
- To summarize indications and surgical techniques for these advanced grafts.
Main Methods:
- Review of existing literature on noncircular keratoplasty.
- Analysis of case reports and case series detailing surgical outcomes.
Main Results:
- Noncircular grafts provide effective tectonic support and visual rehabilitation.
- Favorable postoperative visual and astigmatic outcomes have been reported.
- Evidence is primarily based on case reports and small case series.
Conclusions:
- Noncircular keratoplasty is a valuable technique for managing difficult peripheral corneal diseases.
- Larger studies are required to further evaluate the advantages, disadvantages, and outcomes of these procedures.

