Refractive surgery after corneal transplant

Jocelyn Kuryan, Prabjot Channa

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

PURPOSE OF REVIEW: Ametropia and astigmatism following successful penetrating keratoplasty can seriously impact a patient's quality of vision. Similar limitations can result following anterior lamellar keratoplasty (ALK) and Descemet's stripping endothelial keratoplasty (DSEK). These patients often suffer from aniseikonia and can be intolerant of spectacles and contact lenses. Refractive surgery can correct both ametropia and astigmatism following corneal transplantation and improve a patient's final visual outcome. The same methods used to correct naturally occurring refractive errors are being used with increasing success in patients who have undergone corneal transplants. RECENT FINDINGS: Many refractive options are available to treat ametropia following penetrating keratoplasty. Incisional keratotomies have been employed to treat high amounts of astigmatism. Photorefractive keratectomy (PRK) and laser in-situ keratomileusis (LASIK) are also used to treat myopia, hyperopia and astigmatism. LASIK has been shown to have an overall better outcome compared to PRK; however, the use of mitomycin-C with PRK has improved results. Phakic and pseudophakic piggyback intraocular lenses are also being used to treat high degrees of ametropia and astigmatism; however, the long-term results are somewhat limited. SUMMARY: Refractive surgery can improve the final visual outcome of patients who have undergone successful corneal transplantation. Currently available modalities provide many options for patients who are intolerant of spectacles and contact lenses. Continued advances and research will enable surgeons to optimize visual quality in postkeratoplasty patients.

Original languageEnglish (US)
Pages (from-to)259-264
Number of pages6
JournalCurrent Opinion in Ophthalmology
Volume21
Issue number4
DOIs
StatePublished - Jul 2010

Fingerprint

Refractive Surgical Procedures
Refractive Errors
Astigmatism
Transplants
Photorefractive Keratectomy
Corneal Transplantation
Laser In Situ Keratomileusis
Penetrating Keratoplasty
Contact Lenses
Aniseikonia
Descemet Stripping Endothelial Keratoplasty
Hyperopia
Intraocular Lenses
Myopia
Mitomycin
Research

Keywords

  • Lamellar keratoplasty
  • Laser in-situ keratomileusis
  • Penetrating keratoplasty
  • Photorefractive keratectomy
  • Refractive surgery

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Refractive surgery after corneal transplant. / Kuryan, Jocelyn; Channa, Prabjot.

In: Current Opinion in Ophthalmology, Vol. 21, No. 4, 07.2010, p. 259-264.

Research output: Contribution to journalArticle

Kuryan, Jocelyn ; Channa, Prabjot. / Refractive surgery after corneal transplant. In: Current Opinion in Ophthalmology. 2010 ; Vol. 21, No. 4. pp. 259-264.
@article{ef0bb5758c4d4b6385ff98a00d4027d0,
title = "Refractive surgery after corneal transplant",
abstract = "PURPOSE OF REVIEW: Ametropia and astigmatism following successful penetrating keratoplasty can seriously impact a patient's quality of vision. Similar limitations can result following anterior lamellar keratoplasty (ALK) and Descemet's stripping endothelial keratoplasty (DSEK). These patients often suffer from aniseikonia and can be intolerant of spectacles and contact lenses. Refractive surgery can correct both ametropia and astigmatism following corneal transplantation and improve a patient's final visual outcome. The same methods used to correct naturally occurring refractive errors are being used with increasing success in patients who have undergone corneal transplants. RECENT FINDINGS: Many refractive options are available to treat ametropia following penetrating keratoplasty. Incisional keratotomies have been employed to treat high amounts of astigmatism. Photorefractive keratectomy (PRK) and laser in-situ keratomileusis (LASIK) are also used to treat myopia, hyperopia and astigmatism. LASIK has been shown to have an overall better outcome compared to PRK; however, the use of mitomycin-C with PRK has improved results. Phakic and pseudophakic piggyback intraocular lenses are also being used to treat high degrees of ametropia and astigmatism; however, the long-term results are somewhat limited. SUMMARY: Refractive surgery can improve the final visual outcome of patients who have undergone successful corneal transplantation. Currently available modalities provide many options for patients who are intolerant of spectacles and contact lenses. Continued advances and research will enable surgeons to optimize visual quality in postkeratoplasty patients.",
keywords = "Lamellar keratoplasty, Laser in-situ keratomileusis, Penetrating keratoplasty, Photorefractive keratectomy, Refractive surgery",
author = "Jocelyn Kuryan and Prabjot Channa",
year = "2010",
month = "7",
doi = "10.1097/ICU.0b013e32833a9abb",
language = "English (US)",
volume = "21",
pages = "259--264",
journal = "Current Opinion in Ophthalmology",
issn = "1040-8738",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Refractive surgery after corneal transplant

AU - Kuryan, Jocelyn

AU - Channa, Prabjot

PY - 2010/7

Y1 - 2010/7

N2 - PURPOSE OF REVIEW: Ametropia and astigmatism following successful penetrating keratoplasty can seriously impact a patient's quality of vision. Similar limitations can result following anterior lamellar keratoplasty (ALK) and Descemet's stripping endothelial keratoplasty (DSEK). These patients often suffer from aniseikonia and can be intolerant of spectacles and contact lenses. Refractive surgery can correct both ametropia and astigmatism following corneal transplantation and improve a patient's final visual outcome. The same methods used to correct naturally occurring refractive errors are being used with increasing success in patients who have undergone corneal transplants. RECENT FINDINGS: Many refractive options are available to treat ametropia following penetrating keratoplasty. Incisional keratotomies have been employed to treat high amounts of astigmatism. Photorefractive keratectomy (PRK) and laser in-situ keratomileusis (LASIK) are also used to treat myopia, hyperopia and astigmatism. LASIK has been shown to have an overall better outcome compared to PRK; however, the use of mitomycin-C with PRK has improved results. Phakic and pseudophakic piggyback intraocular lenses are also being used to treat high degrees of ametropia and astigmatism; however, the long-term results are somewhat limited. SUMMARY: Refractive surgery can improve the final visual outcome of patients who have undergone successful corneal transplantation. Currently available modalities provide many options for patients who are intolerant of spectacles and contact lenses. Continued advances and research will enable surgeons to optimize visual quality in postkeratoplasty patients.

AB - PURPOSE OF REVIEW: Ametropia and astigmatism following successful penetrating keratoplasty can seriously impact a patient's quality of vision. Similar limitations can result following anterior lamellar keratoplasty (ALK) and Descemet's stripping endothelial keratoplasty (DSEK). These patients often suffer from aniseikonia and can be intolerant of spectacles and contact lenses. Refractive surgery can correct both ametropia and astigmatism following corneal transplantation and improve a patient's final visual outcome. The same methods used to correct naturally occurring refractive errors are being used with increasing success in patients who have undergone corneal transplants. RECENT FINDINGS: Many refractive options are available to treat ametropia following penetrating keratoplasty. Incisional keratotomies have been employed to treat high amounts of astigmatism. Photorefractive keratectomy (PRK) and laser in-situ keratomileusis (LASIK) are also used to treat myopia, hyperopia and astigmatism. LASIK has been shown to have an overall better outcome compared to PRK; however, the use of mitomycin-C with PRK has improved results. Phakic and pseudophakic piggyback intraocular lenses are also being used to treat high degrees of ametropia and astigmatism; however, the long-term results are somewhat limited. SUMMARY: Refractive surgery can improve the final visual outcome of patients who have undergone successful corneal transplantation. Currently available modalities provide many options for patients who are intolerant of spectacles and contact lenses. Continued advances and research will enable surgeons to optimize visual quality in postkeratoplasty patients.

KW - Lamellar keratoplasty

KW - Laser in-situ keratomileusis

KW - Penetrating keratoplasty

KW - Photorefractive keratectomy

KW - Refractive surgery

UR - http://www.scopus.com/inward/record.url?scp=77954031499&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77954031499&partnerID=8YFLogxK

U2 - 10.1097/ICU.0b013e32833a9abb

DO - 10.1097/ICU.0b013e32833a9abb

M3 - Article

C2 - 20467314

AN - SCOPUS:77954031499

VL - 21

SP - 259

EP - 264

JO - Current Opinion in Ophthalmology

JF - Current Opinion in Ophthalmology

SN - 1040-8738

IS - 4

ER -