This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Transplantation, Other  • Corneal Disorders  • Pediatric Ophthalmology  • Ophthalmological Procedures, Other  • Alert me on articles by topic

David J. Harris Jr, MD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In the March 2006 issue of the Archives, Afshari et al¹ describe a mathematical model that they contend is useful in planning a corneal rotational autograft. They also include a demonstrative case report. I disagree with their contention and have questions about the case report itself.

The main goal of a rotational autograft is to maximize spectacle-corrected visual acuity in an eye with the following: (1) a corneal opacity contributing to poor vision, and (2) a zone of clear cornea elsewhere. This can be best achieved by relocating the center of the largest zone of clear cornea to a spot over the center of the entrance pupil. This concept combines the principles set forth by Bourne and Brubaker,² whose method relocates the largest zone of clear cornea to a spot over the geometric center of the cornea, and Uozato and Guyton,³ who emphasize centration . . . [Full Text of this Article]

AUTHOR INFORMATION