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Refractive surgery for aphakia and myopia.

H E Kaufman, M B McDonald

    Transactions of the Ophthalmological Societies of the United Kingdom
    |January 1, 1985
    PubMed
    Summary
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    Epikeratophakia offers a safe, reversible refractive surgery for various eye conditions, including pediatric cataracts. This corneal tissue lens procedure is becoming more accessible for ophthalmic surgeons.

    Area of Science:

    • Ophthalmology
    • Corneal Surgery
    • Refractive Surgery

    Background:

    • Epikeratophakia is a refractive surgery technique.
    • It is used to correct aphakia, myopia, and treat corneal conditions like keratoconus, perforation, and pterygium.
    • The procedure involves attaching tissue lenses to the de-epithelialized cornea without invading the central optical zone.

    Purpose of the Study:

    • To highlight epikeratophakia as a safe and reversible surgical option.
    • To emphasize its potential for correcting optical issues in infants and children with cataracts.
    • To discuss the increasing accessibility of the procedure with commercially prepared tissue lenses.

    Main Methods:

    • Epikeratophakia involves attaching donor corneal tissue (tissue lens) to the recipient's de-epithelialized cornea.

    Related Experiment Videos

  • The procedure does not require invasion of the central optical zone.
  • Commercially prepared tissue lenses are now available.

    • Main Results:

    • The safety profile of epikeratophakia makes it suitable for pediatric optical correction.
    • The use of commercially prepared lenses increases accessibility for ophthalmic surgeons.
    • Future advancements may combine epikeratophakia with alloplastic lenses for enhanced refractive correction.

    Conclusions:

    • Epikeratophakia is a safe and reversible surgical approach for refractive errors and corneal pathologies.
    • It presents a viable solution for optical correction in pediatric cases, particularly cataracts.
    • Further research into biocompatible alloplastic materials could expand future applications.