Temporal incision for astigmatic control in secondary implantation

A small group of aphakic patients having secondary lens implantation had keratometry performed before and at four months after surgery. A temporally oriented scleral pocket incision and closure technique was used to place the incision in fresh tissue and in the steepest corneal meridian. The results demonstrated an overall reduction of corneal cylinder from modest flattening of the surgical axis. Placement of the scleral pocket incision in fresh temporal tissue for secondary lens implantation affords a watertight stable wound with astigmatic control.