title: [Microkeratome-assisted anterior lamellar keratoplasty for the removal of corneal scar, caused by pterygium].
abstract: 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.
authors.affiliation: Semmelweis Egyetem, Altalános Orvostudományi Kar Szemészeti Klinika Budapest. agnesildiko@freemail.hu
authors.forename: Agnes Ildikó
authors.initials: AI
authors.lastname: Takács
authors.forename: Zoltán Zsolt
authors.initials: ZZ
authors.lastname: Nagy
mesh_terms: 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