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Corneal scarring is a common indication for penetrating keratoplasy. In a situation where the central cornea has a non-progressive scar and clear periphery, a rotational autograft can be attempted.1 Despite the advantages of rotational autograft, there may be difficulties in wound healing due to wound edge irregularity.2 Femtosecond laser has advanced as an alternative method of corneal wound construction for donor and recipient corneas in keratoplasty procedures.3 4 Dovetail keratoplasty is especially advantageous for performing ipsilateral corneal autografts because of its rotationally symmetric multiplanar wound construction3. In this letter, we describe the femtosecond dovetail rotational autograft for corneal scarring.
Modified technique for autograft
A 43-year-old Hispanic male presented for evaluation of aphakia and central corneal scar in his left eye (OS). His past ocular history was significant for an intraocular foreign body and corneal laceration repair …
Funding NIH EY10101 (DTA), P30-001792 (DTA), and an unrestricted departmental support from Research to Prevent Blindness (New York, NY).
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.