Tailored lamellar keratoplasty: a new technique

We present a new method for treating complicated corneal gaps among patients who have previously undergone radial keratotomy (RK).

After complete healing of a fungal keratitis in a patient who has undergone RK, we removed the oedematous corneal sector and put anterior tailored segment of a corneal button previously used for Descemet stripping endothelial keratoplasty. The patient's best-corrected visual acuity reached to 20/20 6 months later. This technique will compensate for oedematous parts without putting a significant effect on other parts such as purse string sutures.

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