Korean J Ophthalmol > Volume 5(1); 1991 > Article
Korean Journal of Ophthalmology 1991;5(1):30-33.
DOI: https://doi.org/10.3341/kjo.1991.5.1.30    Published online June 30, 1991.
Epikeratoplasty for keratoconus.
Woo Jung Kim, Jin Hak Lee
Department of Ophthalmology, College of Medicine, Seoul National University, Seoul, Korea.
Abstract
The 6 eyes of 6 patients operated on using keratoconic epikeratoplasty are evaluated, and the mean 11-month postoperative results are reported. Uncorrected visual acuities improved in 4 patients and were maintained in 1 patient. One patient revealed a decrease of uncorrected visual acuity in the postoperative 6th month. Two patients showed an improvement of over 2 Snellen lines. Two patients showed the same corrected visual acuity, and that of 2 patients decreased within the postoperative 6-months follow-up. There was a significant decrease of myopia in terms of spherical equivalent. As a result, 4 cases showed a postoperative refractive error from +1.0 to -2.5D. Two cases were myopic deviated, -4.0 and -5.0D, and need further observation. In all cases, there was an effective flattening of the protruding cone with a mean decrease of over 11D of keratometry readings. Complete reepithelization occurred within 12 days, (average 7.5 days) and a moderate pressure patch was used as a routine procedure to promote the reepithelization.
Key Words: epikeratoplasty;keratometry readings;keratoconus;reepithelization;spherical equivalent;visual acuity
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