RT Journal Article SR Electronic T1 Shaped corneal transplantation surgery JF British Journal of Ophthalmology JO Br J Ophthalmol FD BMJ Publishing Group Ltd. SP 9 OP 16 DO 10.1136/bjophthalmol-2019-315754 VO 105 IS 1 A1 Sahay, Pranita A1 Stevenson, Louis Julian A1 Agarwal, Tushar A1 Sharma, Bhavana A1 Sharma, Namrata A1 Vajpayee, Rasik B YR 2021 UL http://bjo.bmj.com/content/105/1/9.abstract AB Since its inception in 1905, keratoplasty techniques have continuously evolved. Shaped keratoplasty procedures have allowed corneal surgeons to use complex graft–host junctions and non-circular graft designs to optimise wound strength and healing, facilitate early suture removal and expedite visual rehabilitation. While this was initially limited to penetrating procedures, shaped lamellar keratoplasty techniques have since emerged. Furthermore, the arrival of femtosecond laser has dramatically increased the range of graft designs available to surgeons, due to the technology’s ability to precisely cut complex wound edges. This review describes the broad range of shaped keratoplasty grafts currently available and elaborates on their respective advantages and disadvantages in relation to conventional keratoplasty.