Retrephination keratoplasty for high astigmatism after penetrating keratoplasty

Ronald R. Krueger, Robert J. Landry, Kerry K. Assil, David J. Schanzlin

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


PURPOSE: We report preliminary results of a new procedure for correcting high astigmatism after penetrating keratoplasty. METHODS: The procedure entails full-thickness trephination along the original donor-recipient junction with careful suturing in a combined interrupted and running fashion. Four eyes of four patients with severe astigmatism and myopia after penetrating keratoplasty underwent the procedure. RESULTS: High preoperative cylinder ranging from 4.50 to 16.00 D (mean 9.00 D) was reduced to 0.50 to 3.50 D (mean 1.90 D) at the last examination (between 3 to 6 months). Spherical equivalent myopia ranging from -2.00 to -10.25 D (mean -4.90 D) was essentially unchanged at plano to -9.00 D (-4.70 D) at the last examination. Overall, there was a mean refractive cylinder reduction of 7.10 D (79%). CONCLUSION: Retrephination after penetrating keratoplasty appears to be an acceptable alternative for correcting high astigmatism, and had only a small effect on the level of myopia.

Original languageEnglish (US)
Pages (from-to)806-808
Number of pages3
JournalJournal of Refractive Surgery
Issue number7
StatePublished - 1996
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology


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