Corneal lenticular wrinkling after automated lamellar keratoplasty.
OBJECTIVE
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.


CONCLUSIONS
The use of a microkeratome can be complicated by lenticular displacement and wrinkling, resulting in visual aberration for the patient.
Department of Ophthalmology, University of Arkansas for Medical Sciences, Little Rock 72205, USA.
T L
TL
Steinemann
N C
NC
Denton
M F
MF
Brown
D000328:Adult; D003316:Corneal Diseases / Q000209:etiology* / Q000473:pathology; D016039:Corneal Transplantation / Q000009:adverse effects*; D019466:Glare; D006801:Humans; D008297:Male; D009216:Myopia / Q000601:surgery; D014786:Vision Disorders / Q000209:etiology / Q000473:pathology; D014792:Visual Acuity