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Book and Software Review
December 2006

Conductive Keratoplasty: A Primer

Arch Ophthalmol. 2006;124(12):1802-1803. doi:10.1001/archopht.124.12.1802-b

This text is a welcome volume on the newly emerging surgical technology of conductive keratoplasty. The principal authors of this book are experienced refractive surgeons who have been in the forefront in developing this promising technology. They have assembled an outstanding group of refractive surgical leaders who share the experience and techniques in performing conductive keratoplasty.

The text is succinct, clear, and well illustrated. It begins with a historical review of attempts to alter collagen structure of the cornea by various physical means, eg, heat, radiofrequency waves, Ho:YAG lasers, and diode lasers. All of these attempts resulted in transient to short-term results with subsequent regression or unacceptably high rates of complications. The development of conductive keratoplasty built on prior experience and modified the delivery tip and probe to deliver precise amounts of radiofrequency energy to the corneal stroma; in this way, a more predictable effect on collagen is achieved, resulting in a more stable effect while avoiding unwanted effects on adjacent tissue such as the corneal epithelium and endothelium.

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