2 Case of Epikeratopkakia in the Adult Aphakia.
- Author:
Dae Young YOUN
1
;
Kyung Hun LEE
;
Yong Jai KIM
Author Information
1. Department of Ophthalmology in Maryknoll Hospital, Korea.
- Publication Type:Case Report
- Keywords:
corneal curvature;
epikeratophakia;
monocular aphakia;
prelathed
- MeSH:
Adult*;
Aphakia*;
Cornea;
Epikeratophakia;
Eyeglasses;
Humans;
Lens Implantation, Intraocular;
Postoperative Period;
Refractive Errors;
Tissue Donors;
Transplants;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
1989;30(6):1013-1019
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
One of the indications for epikeratophakia is monocular aphakia intolerant of spectacles and contact lens correction and unsuited for intraocular lens implantation for whatever reason. The procedure involves suturing a lamellar corneal stromal tissue of a human donor eye prelathed for corrective power onto the recipient cornea whose epithellum has just been removed. We performed the epikeratophakia procedure on two patients who were included in the above indication on May 26, 1988. Through the first 6 months of postoperative period, both the graft and recipient tissues remained clear with excellent optical quality, with corrected visual acuity of 0.4 at 1 month, 0.6 at 3 month and 0.8 at 6 month postoperative period respectively. The average increase of corneal curvature was 10.5 diopters and induced refractive error was within 1.5 spherical equivalent diopters after the 6 month period. No significant postoperative compications have been encountered.