Scarring of a recipient cornea following epikeratoplasty
F. W. Price Jr and P. S. Binder
Community Hospitals of Indianapolis, IN.
A recipient cornea gradually developed wrinkling and opacification in
Bowman's layer following an uneventful myopic epikeratoplasty. The process
continued after removal of the lenticule, and the best corrected visual
acuity decreased from 20/20 to 20/60. Glare, especially at night, severely
compromised the vision in this eye. Six months after removal of the
lenticule, a homoplastic myopic keratomileusis was performed to remove the
corneal opacity and correct the residual myopia. Morphologic analysis of
the patient's excised cornea demonstrated wrinkles and folds in Bowman's
layer. To our knowledge, this is the first reported case of scarring of a
patient's own cornea after epikeratoplasty and of treatment of a failed
epikeratoplasty with homoplastic myopic keratomileusis.