Femtosecond laser astigmatic keratotomy for postkeratoplasty astigmatism.
METHODS
Two eyes of 2 patients with high astigmatism following penetrating keratoplasty were treated with femtosecond laser-assisted paired arcuate keratotomies in the donor cornea. Outcome measures included best-corrected visual acuity, refraction, keratometry, and topographic findings. The preoperative cylinder was 8.5 diopters (D) in the first case and 7.0 D in the second case. Respectively, the postoperative cylinder improved to 4.9 D after a follow-up of 8 months and to 4.3 D after a follow-up of 7 months. Best-corrected visual acuity improved from 20/100 to 20/30 in the first case and from 20/200 to 20/60 in the second case. No complications were encountered; no microperforations were observed, and neither graft rejection nor failure occurred.


CONCLUSIONS
The results of astigmatic keratotomy performed with femtosecond laser were reliable and predictable. Femtosecond astigmatic keratotomy may prove to be a safe procedure with satisfactory results.
Harissi-Dagher
Mona
M
Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA.
Azar
Dimitri T
DT
D000328:Adult; D001251:Astigmatism / Q000209:etiology / Q000601:surgery*; D003315:Cornea / Q000601:surgery*; D048988:Corneal Surgery, Laser / Q000379:methods*; D019781:Corneal Topography; D005260:Female; D006801:Humans; D015948:Keratoplasty, Penetrating / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012029:Refraction, Ocular / Q000502:physiology; D014792:Visual Acuity / Q000502:physiology