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February 1989

Shortened Recovery From Keratoplasty and Epikeratoplasty

Author Affiliations

Scottsdale, Ariz

Arch Ophthalmol. 1989;107(2):167. doi:10.1001/archopht.1989.01070010173005

To the Editor.  —I found the study by Steinert and Wagoner1 in the April 1988 Archives to be of interest, and have a few comments in regard to the difference between obtaining useful vision in the penetrating keratoplasty group and in the epikeratoplasty group. Based on some of the preliminary findings from our own work with epikeratoplasty and keratoconus with so-called wet epis, we believe that the difference in time between the two groups until clear vision is obtained will be narrowed considerably by abandonment of the use of presurgically prepared freeze-dried lenticles. Our experience has shown that the fresh tissue laid in a circular keratotomy bed without the circumferential keratectomy produces a much quicker return of vision with fewer instances of postoperative astigmatism due to uneven suture tension. The actual results, of course, await the completion of the study, but the preliminary indications are that this is indeed