Managing Post Keratoplasty Astigmatism

Raj Bhayani,1 Andrew Walkden1,2 1Manchester Royal Eye Hospital, Manchester University NHS Foundation Trust, Manchester, UK; 2School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UKCorrespondence: Andrew Walkden, Email walkdenandrew@gmail.comAbstract: Corneal transplantation, when used in the correct setting, can significantly improve visual acuity and therefore quality of life. One of the barriers to good vision following keratoplasty is residual post operative surgical astigmatism. Following a thorough literature search, we present the different options available to readers, with regards to how post-operative astigmatism can be approached and managed in order to improve vision. We present available data from the literature, which in some areas are scarce, with a view to collating all of this information in one place, allowing comparison between different modalities of treatment.Keywords: penetrating keratoplasty, astigmatism, post graft astigmatism, corneal transplant astigmatism