Managing Post-Keratoplasty Astigmatism: High-Tech vs. Low-Tech Imaging Techniques for Guiding Suture Manipulation

被引：2

作者：

Borgia, Alfredo ^{[1
,2
]}

Romano, Vito ^{[2
,3
]}

Romano, Davide ^{[3
,4
]}

Pagano, Luca ^{[2
]}

Vagge, Aldo ^{[5
,6
]}

Giannaccare, Giuseppe ^{[7
]}

Ahmed, Mahmoud ^{[2
]}

Gadhvi, Kunal ^{[2
]}

Menassa, Nardine ^{[2
]}

Ahmad, Mohammad ^{[2
]}

Kaye, Stephen ^{[2
]}

Coco, Giulia ^{[2
,8
]}

机构：

[1] Humanitas Gradenigo Hosp, Eye Unit, I-10153 Turin, Italy

[2] Royal Liverpool Univ Hosp, Dept Corneal Dis, St Pauls Eye Unit, Liverpool L7 8YE, England

[3] Univ Brescia, Dept Neurol & Vis Sci, Eye Clin, I-25125 Brescia, Italy

[4] NHS Trust, Univ Hosp Leicester, Eye Unit, Leicester LE1 5WW, England

[5] IRCCS Osped Policlin San Martino, Univ Eye Clin Genoa, I-16132 Genoa, Italy

[6] Univ Genoa, Dept Neurosci Rehabil Ophthalmol Genet Maternal &, I-16132 Genoa, Italy

[7] Magna Graecia Univ Catanzaro, Dept Ophthalmol, I-88100 Catanzaro, Italy

[8] Univ Roma Tor Vergata, Dept Clin Sci & Translat Med, I-00133 Rome, Italy

来源：

JOURNAL OF CLINICAL MEDICINE | 2023年 / 12卷 / 10期

关键词：

corneal astigmatism; sutures adjustment; penetrating keratoplasty; deep anterior lamellar keratoplasty; autorefractometry; keratoscopy; OPTICAL COHERENCE TOMOGRAPHY; TORIC INTRAOCULAR LENSES; PENETRATING KERATOPLASTY; CORNEAL TRANSPLANTATION; PHOTOREFRACTIVE KERATECTOMY; TOPOGRAPHIC ANALYSIS; REMOVAL; GRAFT; MANAGEMENT; REFRACTION;

D O I：

10.3390/jcm12103462

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Astigmatism is a visually significant condition that can develop after keratoplasty. The management of post-keratoplasty astigmatism can be performed both when transplant sutures are in place and when they have been removed. Fundamental for astigmatism management is its identification and characterization in terms of type, amount, and direction. Commonly, post-keratoplasty astigmatism is evaluated through corneal tomography or topo-aberrometry; however, many other techniques can be used in case these instruments are not readily available. Here, we describe several low-tech and high-tech techniques used for post-keratoplasty astigmatism detection in order to quickly understand if it contributes to low vision quality and to determine its characteristics. The management of post-keratoplasty astigmatism through suture manipulation is also described.

引用

页数：12