Abstract
In 1869 Snellen1 suggested that a steep corneal meridian may be flattened by an interior corneal incision. Bates2, in 1984, correctly described the corneal topography result after circumferential corneal meridian perpendicular to the circumferential incision. He observe that the closer the incision is to center of the cornea, the greater the correction of astigmatism. He also noted the length and depth of the incision influence the change in radius of curvanture of the corneal meridian. In 1989, lans3 published his result on the series of experiment attempting to reduce astigmatism in rabbit cornea and describe a “double wedge resection” in the cornea (Fig.11.1).
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References
Snellen H. Die Richtung der Hauptmeridiane des astigmatischen Auges. Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1869; 15:199–207.
Bates WH. A suggestion of an operation to correct astigmatism. Arch Ophthalmol. 1894; 23:9–13.
Lans LJ. Experimentelle Untersuchungen über Entstehung von Astigmatismus durch nicht- perforirende Corneawunden. Albrecht von Graefes Arch Ophthalmol. 1898; 45:117–152.
Sato T. Posterior incision of cornea; surgical treatment for conical cornea and astigmatism. Am J Ophthalmol. 1950; 33:943–948.
Sato T. Posterior half-incision of cornea for astigmatism; operative procedures and results of the improved tangent method. Am J Ophthalmol. 1953; 36:462–466.
Akiyama K, Tanaka M, Kanai A, Nakajima A. Problems arising from Sato’s radial keratotomy procedure in Japan. CLAOJ. 1984; 10:179–184.
Troutman RC. Microsurgery of the Anterior Segment of the Eye. St Louis:CV Mosby, 1977;p 286.
Wiedman M. Cylinders into spheres:astigmatic cornea repair. Read before the Tenth Corneal Research Conference. Boston, June 17, 1977.
Poyales J. Actas 1 Congreos Oftalmologico Latino, Rome, 1953.
Barraquer J, Muinos A. Lamellar scleral resection:indications and technique. Am J Ophthalmol. 1956; 41:92.
Troutman RC. Ill Symposium of the International Ophthalmic Microsurgery Study Group, Mexico. Basel:Karger, 1970
Troutman RC Swinger Incision for the control of postoperative astigmatism following kaeratoplasty Ophthalmic Surg. 1983;11 11:117-120
Krachmer JH, Fenzel RE. Sergical Correction of high postkeratoplasty astigmatism. Arch opthalmol. 1980; 98:1400–1402.
Sugar J, Kirk AK Relaxing Keratotomy for postkeratoplasty high astigmatism. Ophthalmic Surg. 1983; 14:156–158.
Krachmer JH, Ching SST. Relaxing Cornea incison for postkeratoplasky astigmatism. Int Ophthalmol Clin1983; 23:153–157.
Troutman RC. Corneal Wedge Resection and relaxing incision for postkeratoplasty astigmatism Int Ophthalmol Clin. 1983; 23:166–168.
Lavery GW, Lindstorm RL, Hofer LA, Et al. The surgical management of cornea astigmatism after penetrating keratoplasty. Ophthalmic Surg. 1985; 16:165–169.
Troutman RC. Microsurgical control of cornea astigmatism in cataract and keratoplasty. Trans Am Acad Ophthalmol Otolaryngol. 1973; 77:563–572
Casey TA, Werb A, Rerrie J.Trans Ophthal Soc UK. 1974; 94:127
Sanders N. Wedge resection in host cornea to correct postkeratoplasty astigmatism. Ophthalmic Surg. 1979; 10:53–54.
Van Rij G, Vijfvinkel G. Correction of postkeratoplasty astigmatism by razor blade and v- shaped knife wedge resection. Ophthalmic Surg. 1983; 14:406–410.
Lugo M, Donnenfeld, ED, Arentsen JJ. Corneal wedge resection for high astigmatism following penetrating keratoplasty. Ophthalmic Surg. 1987; 18:650–653.
Lindstrom RL, Lavery GW. Correction of postkeratoplasty astigmatism. In:Sanders DR, Hofman RF, Salz JJ, eds, Refractive Corneal Surgery. Thorofare, NJ:Slack, 1986;p 215.
Belmont SC, Troutman RC. Compensating compression sutures in wedge resection. J Refract Surgery. 1985; 1:104–107.
O’Connor R. Corneal cautery for high myopic astigmatism. Am J Ophthalmol. 1933; 16:337.
Rowsey JJ, Doss JD. Preliminary report of Los Alamos keratoplasty technique. Ophthalmology. 1981; 88:755.
Perlman EM. An analysis and interpretation of refractive errors after penetrating keratoplasty. Ophthalmology. 1981; 88:39–45.
Stainer GA, Perl T, Binder PS. Controlled reduction of postkeratoplasty astigmatism. Ophthalmology. 1982; 89:668–676.
Rowsey JJ. Review:current concepts in astigmatism surgery. J Refract Surgery. 1986; 2:85–94.
Olson RJ. Modulation of postkeratoplasty astigmatism by surgical and suturing techniques. Int Ophthal Clin. 1983; 23:137–151.
Beatty RF, Schanzlin DJ. Wedge resection and relaxing incisions. In:Schwab IR ed, Refractive Keratoplasty. New York:Churchill Livingstone 1987;ch 9.
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Beatty, R.F., Schanzlin, D.J. (1992). Corneal Topography in Management of PK Astigmatism. In: Schanzlin, D.J., Robin, J.B. (eds) Corneal Topography. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2766-3_11
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DOI: https://doi.org/10.1007/978-1-4612-2766-3_11
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