[The unsolved problem of transplant astigmatism].
Irregularities of the trephine margins, donor/recipient thickness disparity and irregular suture technique are the important factors for high astigmatism after penetrating keratoplasty. A combined suture technique using eight interrupted 11-0 Mersilene sutures and a single continuous 10-0 nylon suture enables to control and to remedy the final postkeratoplasty astigmatism. In 35 patients with a corneal graft a final astigmatism of 2.9 diopters was reached after removal of the continuous suture and partial leaving in place of single interrupted Mersilene sutures.
Bigar
F
F
Hôpital Ophtalmique Jules Gonin, Lausanne.
Uffer
S
S
D001251:Astigmatism / Q000209:etiology / Q000517:prevention & control*; D016039:Corneal Transplantation / Q000379:methods*; D006801:Humans; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications / Q000517:prevention & control*; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000517:prevention & control; D013536:Suture Techniques
D011093:Polyethylene Terephthalates; C025539:Lavsan
Das ungelöste Problem des Transplantats-Astigmatismus.