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Corneal lenticular wrinkling after automated lamellar keratoplasty
T L Steinemann1, N C Denton, M F Brown
1Department of Ophthalmology, University of Arkansas for Medical Sciences, Little Rock 72205, USA.
Purpose:
To report complications of automated lamellar keratoplasty in two eyes of two patients.
Methods:
Case reports. Two eyes of two patients underwent automated lamellar keratoplasty for myopia. Both patients complained of visual distortion and glare in the postoperative eye.
Results:
The postoperative eye of both patients showed evidence of wrinkling of the corneal lenticule accompanied by irregular astigmatism. Patient 1 showed persistent lenticular wrinkling and corneal scarring 2.5 years later. Patient 2 showed evidence of interface scar and overcorrection.
Conclusion:
The use of a microkeratome can be complicated by lenticular displacement and wrinkling, resulting in visual aberration for the patient.