Immediate Postoperative Decentration of a Biologic Corneal Inlay Managed With Tomography-Guided Repositioning: A Case...

Area of Science:

• Ophthalmology
• Corneal Surgery
• Biomaterials Science

Background:

• Biologic corneal inlays are used for refractive correction.
• Postoperative decentration of corneal inlays can occur, impacting visual outcomes.
• Early detection of decentration is clinically challenging.

Purpose of the Study:

• To highlight the issue of early postoperative decentration in biologic corneal inlays.
• To introduce real-time tomography as a diagnostic tool.
• To present a surgical strategy for correcting inlay decentration.

Main Methods:

• Utilized real-time tomography for precise diagnosis of inlay position.
• Performed same-day flap relifting and repositioning of decentered biologic corneal inlays.
• Evaluated the safety and effectiveness of the repositioning technique.

Main Results:

• Real-time tomography enabled accurate and early detection of subtle inlay decentration.
• Same-day flap relifting and repositioning were found to be safe and effective.
• The intervention successfully restored inlay centration and preserved visual quality.

Conclusions:

• Immediate postoperative decentration of biologic corneal inlays is a rare but significant complication.
• Real-time tomography is crucial for the early diagnosis of inlay decentration.
• Surgical repositioning via flap relifting is an effective treatment for maintaining visual function.