Adjusting stromal transplants

This is an image of a resuture of a stromal transplant for keratoconus. Note the interrupted sutures in the inferior cornea. Why would this zone need resuturing, many years after successful transplantation for keratoconus with minimal postoperative cylinder? BECAUSE THE PATIENT CONTINUED TO RUB, AND MOST RUBBING COMPRESSES THE INFERIOR CORNEA What this means is …

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Corneal scarring after laser vision correction - Dr Anthony Maloof, Sydney.

This is an image of corneal scarring after surface laser vision correction. It is beautifully demarcated within the optical zone. I treated a lot of this in the 1990s when it was rife: laser surgery had come in and everyone fired their laser. It is much less common, but can still occur today. It causes …

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