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Epikeratophakia without annular keratectomy.

J D Goosey1, T C Prager, T L Marvelli

  • 1University of Texas Health Science Center, Houston.

Annals of Ophthalmology
|October 1, 1987
PubMed
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This study found that omitting the annular keratectomy in epikeratophakia surgery for high myopia did not negatively impact graft clarity or viability. The modified procedure achieved excellent refractive correction, offering a promising alternative for myopia management.

Area of Science:

  • Ophthalmology
  • Refractive Surgery

Background:

  • High myopia presents significant challenges for vision correction.
  • Epikeratophakia is a surgical option for high myopia, traditionally involving an annular keratectomy.
  • Modifications to surgical techniques are continually explored to improve outcomes and patient safety.

Purpose of the Study:

  • To evaluate the efficacy and safety of epikeratophakia without an annular keratectomy for high myopia correction.
  • To assess the impact of omitting the keratectomy on graft clarity and viability.
  • To determine the refractive outcomes of this modified surgical approach.

Main Methods:

  • Nineteen patients (20 eyes) with high myopia underwent epikeratophakia.
  • The surgical procedure excluded the conventional annular keratectomy step.

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  • Graft clarity, viability, and refractive outcomes were monitored up to six months postoperatively.
  • Main Results:

    • Preliminary results up to six months showed no adverse effects on graft clarity or viability.
    • The weighted-average refractive correction achieved was 102% at six months.
    • The modified surgical technique was successfully performed in all cases.

    Conclusions:

    • Omitting the annular keratectomy in epikeratophakia is a safe and effective modification for correcting high myopia.
    • This technique maintains graft integrity and provides significant refractive correction.
    • Further long-term studies are warranted to confirm sustained outcomes.