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Letter
Corneal epithelial defects related to high postoperative astigmatism
  1. R Singh,
  2. T Umapathy,
  3. B B Kulkarni,
  4. H S Dua
  1. University Hospital, Queens Medical Centre, University of Nottingham, Nottingham, UK
  1. Correspondence to: Professor H S Dua Division of Ophthalmology, University Hospital, Queens Medical Centre, B Floor, Eye ENT Centre, Nottingham NG7 2UH, UK; harminder.duanottingham.ac.uk

https://doi.org/10.1136/bjo.2005.069260

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    High and sometimes irregular astigmatism is not an infrequent complication following anterior segment surgery such as suturing of large wounds and corneal transplants. Abnormal corneal topography may affect tear film stability adversely. We present the case of two patients who had persistent postoperative epithelial defects in the lower third of the cornea, in the presence of high corneal astigmatism despite aggressive lubrication. Upon addressing their high corneal astigmatism their epithelial defects resolved.

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