Circular keratotomy combined with wedge resection in the management of high astigmatism after penetrating keratoplasty

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dc.contributor.authorÇakır, Hanefi
dc.contributor.authorGenç, Selim
dc.contributor.authorGüler, Emre
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:50:01Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:50:01Z
dc.date.issued2018
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Göz Hastalıkları Ana Bilim Dalı
dc.descriptionWOS: 000457840400067
dc.descriptionPubMed ID: 29944506
dc.description.abstractObjective: To evaluate the effectiveness of circular keratotomy combined with wedge resection for the management of high astigmatism after penetrating keratoplasty (PK). Methods: The study included seven eyes of seven patients with previous PK who underwent circular keratotomy combined with wedge resection. The uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA), spherical equivalent (SE) refraction, and keratometric powers obtained by corneal topography were evaluated. The power vector method was used to analyze the astigmatic change postoperatively. Results: The mean follow-up period was 18.42 +/- 8.56 months (range 12-33 months). Uncorrected visual acuity, BCVA, and SE were improved in all eyes postoperatively. The mean preoperative astigmatism reduced from 15.11 +/- 5.48 D (range, 10.0-24.4 D) to 4.98 +/- 3.01 D (range, 2.2-9.6 D), postoperatively. According to the vector analysis, the overall mean surgically induced astigmatism at last visit was 12.87 +/- 6.20 D. The most common complication was the loosening of sutures occurred in five eyes within 2 months. Conclusions: Circular keratotomy combined with corneal wedge resection is a favorable option for the management of high astigmatism after PK.
dc.identifier.citationÇakır, H., Genç, S. ve Güler, E. (2018). Circular keratotomy combined with wedge resection in the management of high astigmatism after penetrating keratoplasty. Eye & Contact Lens-Science and Clinical Practice, 44(Supplement: 2), S392-S395. https://dx.doi.org/10.1097/ICL.0000000000000502
dc.identifier.doi10.1097/ICL.0000000000000502
dc.identifier.endpageS395
dc.identifier.issn1542-2321
dc.identifier.issn1542-233X
dc.identifier.issueSupplement: 2
dc.identifier.scopusqualityQ2
dc.identifier.startpageS392
dc.identifier.urihttps://dx.doi.org/10.1097/ICL.0000000000000502
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1851
dc.identifier.volume44
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofEye & Contact Lens-Science and Clinical Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCircular Keratotomy
dc.subjectWedge Resection
dc.subjectPenetrating Keratoplasty
dc.subjectHigh Astigmatism
dc.titleCircular keratotomy combined with wedge resection in the management of high astigmatism after penetrating keratoplasty
dc.typeArticle

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