title: [Surgical correction of astigmatism after wedge resection keratoplasty].
abstract: OBJECTIVE
  To analyse the results of astigmatism correction after keratoplasty using wedge resection technique.
  
  
  METHODS
  Eleven patients underwent a wedge resection for postkeratoplasty astigmatism. The average postoperative astigmatism was 13.9 diopters (range 11.0 to 17.0 D). Among the patients there were 5 women and 6 men, aged 25 to 70 years. All of the grafts were in static phase, after suture removal. The indications for keratoplasty were: keratoconus--8, pseudophakic and aphakic corneal edema--3. The follow-up period after wedge resection was 6 to 24 months. The astigmatism was evaluated by videokeratometer (ORC Masterviue Ultra).
  
  
  RESULTS
  Postoperatively, the average astigmatism was 7.25 D by 6 months, 8.1 D by 12 months, 8.45 D by 24 months. The visual acuity corrected with spectacles was 0.2 to 1.0. 8 patients (72.7%) gained better visual acuity. Complications included: 1) growing vessels through the wound, 2) delay of epithelization.
  
  
  CONCLUSIONS
  Wedge resection is an effective technique for managing postkeratoplasty high astigmatism.
authors: Oddziału Okulistycznego Szpitala św. Barbary w Sosnowcu. keros@polbox.com
authors: E
authors: E
authors: Wylegała
authors: W
authors: W
authors: Romaniuk
authors: W
authors: W
authors: Banyś
authors: P
authors: P
authors: Szkaradek
mesh_terms: D000328:Adult; D000368:Aged; D001251:Astigmatism / Q000601:surgery*; D005260:Female; D006801:Humans; D015948:Keratoplasty, Penetrating / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D016896:Treatment Outcome