Clinical Results of Epikeratoplasty for Myopia, Keratoconus and Aphakia.

Cho, Jeong Ik; Lee, Ha Bum; Kim, Sun Hee

Original Article

Journal of the Korean Ophthalmological Society 1992;33(12):1127-1135.
Published online December 1, 1992.

Clinical Results of Epikeratoplasty for Myopia, Keratoconus and Aphakia.

Jeong Ik Cho, Ha Bum Lee, Sun Hee Kim

Department of Ophthalmology, Kangdong Sacred Heart Hospital College of Medicine, Hallym University, Seoul, Korea.

고도근시 , 원추각막 , 무수정체안에서의 Epikeratoplasty 의 임상적 결과

조정익(Jeong Ik Cho),이하범(Ha Bum Lee),김선희(Sun Hee Kim)

Abstract

We have performed epikeratoplasty to correct the visual acuity in high myopia who are more than -8.0D and intolerant to the wearing of contract lens, and for the aphakic eyes. It has been also applied to supress the progression of keratoconus. Of 118 eyes performed from january 1989 to july 1992, a total of 90 eyes which could be followed up were subject to the review, including 66 high myopic eyes, 18 keratoconus, and 6 aphakic eyes. In myopic patients, uncorrected visual acuity was stable from a proeperative mean of 0.04 to 0.58 at 4 months. Spherical equivalent was stable from a preoperative mean of -13.99 to -2.01 at 4 months. In keratoconus patients with mean 10.1 months follow-tp, uncorrected visual acuity was changed from 0.05 to 0.33 Corrected viaual acuity was changed from 0.15 to 0.60, keratometry reading was changed from 55.87D to 45.92D. Of 6 aphakic eyes, spherical equivalent of 3 pediatric: aphakic eyes under the age of 3 was changed from +15.0D to +3.41, for the other 3 adult aphakic eyes, spherical equivalent was changed from +9.5D to +1.83D and uncorrected visual acuity was changed from 0.03 to 0.32. Epikeratoplasty is effective surgery applicable to the correction of myopia more than -8.0D, keratoconus, and aphakia.

Key Words: Aphakia;Epikeratoplasty;Keratoconus;Myopia