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June 1986


Author Affiliations

Washington, DC

Arch Ophthalmol. 1986;104(6):808. doi:10.1001/archopht.1986.01050180042023

To the Editor.  —I read with great interest the article in the Archives by Dr Waring, "Making Sense of 'Keratospeak.' "1 I suggest that the following two additional surgical procedures be included in the list proposed by the author.

Rotational Autograft.  —This is a procedure in which a functionally significant but well-demarcated corneal opacity located in the visual axis may be displaced to a more eccentric position on the cornea (Fig 1). This procedure is of value in selected patients, especially under circumstances when donor material is unavailable for more conventional corneal transplantation. I recently had the opportunity to observe this procedure employed with success when I was in Bangladesh as a medical missionary.

Keratoprosthesis.  —This procedure is generally employed in "last ditch" circumstances, ie, several failed transplants, severe alkali burns, ocular pemphigoid, and severely damaged ocular anterior segments. An alloplastic device is implanted in the cornea and

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