Corneal lenticular wrinkling after automated lamellar keratoplasty.

Abstract

To report complications of automated lamellar keratoplasty in two eyes of two patients. Case reports. Two eyes of two patients underwent automated lamellar keratoplasty for myopia. Both patients complained of visual distortion and glare in the postoperative eye. The postoperative eye of both patients showed evidence of wrinkling of the corneal lenticule accompanied by irregular astigmatism. Patient 1 showed persistent lenticular wrinkling and corneal scarring 2.5 years later. Patient 2 showed evidence of interface scar and overcorrection. The use of a microkeratome can be complicated by lenticular displacement and wrinkling, resulting in visual aberration for the patient.