October consultation #4

Given the age of the graft, a discussion of a repeat PKP is reasonable; however, with the stated health of the graft, I would prefer to salvage the current graft. I would therefore suggest taking the patient to the operating room and proceeding with a small wedge resection of the graft superotemporally in the left eye. Removing a small crescent of corneal tissue anteriorly and placing some sutures to reapproximate the graft –host junction will strengthen the graft–host junction and adjust the corneal astigmatism.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation section: Cataract Source Type: research