Penetrating keratoplasty from a temporal approach.
OBJECTIVE
To describe the technique of penetrating keratoplasty using a temporal approach.


METHODS
Report of two cases of phakic penetrating keratoplasty performed with the surgeon positioned at the temporal side of the head.


RESULTS
The temporal approach improved the surgical exposure, which eliminated the need for a bridal suture, facilitated the placement of the first two cardinal sutures, and facilitated subsequent placement of nasal sutures.


CONCLUSIONS
The temporal approach to penetrating keratoplasty may facilitate suture placement, decrease surgical time, and reduce suture-induced astigmatism.
Smith
R J
RJ
Beverly Hills Vision and Laser Institute, Beverly Hills, California 90211, USA. lasik@pacbell.net
Chayet
A S
AS
Mondino
B J
BJ
D000328:Adult; D002675:Child, Preschool; D003318:Corneal Opacity / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D015948:Keratoplasty, Penetrating / Q000379:methods*; D008297:Male; D013536:Suture Techniques