2 Case of Epikeratopkakia in the Adult Aphakia

ABSTRACT

One of the indications for epikeratophakia is monocular aphakia intolerant of spectacles and contact lens correction and unsuited for intraocular lens implantation for whatever reason. The procedure involves suturing a lamellar corneal stromal tissue of a human donor eye prelathed for corrective power onto the recipient cornea whose epithellum has just been removed. We performed the epikeratophakia procedure on two patients who were included in the above indication on May 26, 1988. Through the first 6 months of postoperative period, both the graft and recipient tissues remained clear with excellent optical quality, with corrected visual acuity of 0.4 at 1 month, 0.6 at 3 month and 0.8 at 6 month postoperative period respectively. The average increase of corneal curvature was 10.5 diopters and induced refractive error was within 1.5 spherical equivalent diopters after the 6 month period. No significant postoperative compications have been encountered.