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.