Postkeratoplasty myopia treated by keratomileusis

High myopia and astigmatism may both complicate penetrating keratoplasty and cause difficult problems in the visual rehabilitation of the transplanted eye. There are several treatment options besides contact lens fitting for high postkeratoplasty myopic anisometropia, including radial keratotomy, epikeratoplasty, minus-power anterior chamber lenses, keratomileusis, and excimer laser keratectomy. We present the results of keratomileusis in two patients with postkeratoplasty myopia. This procedure has been proved to yield favorable results with regard to graft clarity, refraction, and final uncorrected and corrected visual acuity.