[Microkeratome-assisted anterior lamellar keratoplasty for the removal of corneal scar, caused by pterygium].
OBJECTIVE
to present our experience with microkeratome-assisted anterior lamellar keratoplasty using a manual microkeratome.


METHODS
left eye of a 67 year old man was operated with microkeratome-assisted lamellar keratoplasty to remove a central corneal scar of the anterior stroma and to reduce secondary high-degree irregular astigmia caused by pterygium remnant. Videokeratography was performed to record the status of the cornea.


RESULTS
postoperative best-corrected visual acuity was superior to preoperative value which was 0.6 with +7.0 spherical and -2.0 cylindrical Diopters before the operation. Uncorrected visual acuity improved from 0.15 to 0.6. The topographical cylinder decreased from 7.98 D to 3.79 D, surface asymmetry index from 2.42 to 1.48, surface regularity index form 3.24 to 1.72. Minimum keratometry reading increased from 38.35 to 41.69.


CONCLUSIONS
microkeratome-assisted anterior lamellar keratoplasty seems to be safe and effective to remove corneal scars and reduce high degree irregular astigmia, moreover, to improve visual acuity.
Takács
Agnes Ildikó
AI
Semmelweis Egyetem, Altalános Orvostudományi Kar Szemészeti Klinika Budapest. agnesildiko@freemail.hu
Nagy
Zoltán Zsolt
ZZ
D000368:Aged; D001251:Astigmatism / Q000209:etiology / Q000601:surgery*; D002921:Cicatrix / Q000209:etiology / Q000601:surgery*; D003315:Cornea / Q000473:pathology / Q000601:surgery*; D016039:Corneal Transplantation / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011625:Pterygium / Q000150:complications*; D016896:Treatment Outcome