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Case Reports in Ophthalmological Medicine
Volume 2012 (2012), Article ID 853584, 3 pages
http://dx.doi.org/10.1155/2012/853584
Case Report

Ipsilateral Rotational Autokeratoplasty for the Management of Traumatic Corneal Scar

1Umraniye Training and Research Hospital, Eye Clinic, 34000 Istanbul, Turkey
2Department of Ophthalmology, Medeniyet University Göztepe Training and Research Hospital, 34000 Istanbul, Turkey

Received 16 August 2012; Accepted 25 September 2012

Academic Editors: A. Ferreras and D. K. Roberts

Copyright © 2012 Alime Günes et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 40-years-old male patient with a corneal scar secondary to perforating eye injury had undergone ipsilateral rotational autokeratoplasty in our clinics. The corneal scar involved the pupillary area. The patient had a preoperative visual acuity of counting fingers. The patient’s cornea was trephined with a 0.5 mm temporal decentration. The 8.0 mm autograft was rotated approximately 180° to relocate the scar to the temporal aspect of the cornea. The final position of the corneal scar was temporal of the visual axis and central area was clear. The visual acuity at 1-, 3-, and 6-months followups was better than the first visual acuity in the patient. Ipsilateral rotational autokeratoplasty has many advantages over conventional keratoplasty. There is no risk of immunological rejection of the graft, postoperative corticosteroids are not needed as frequently, and donor cornea is not required. A rotational autograft can be a powerful alternative to conventional keratoplasty for some patients with traumatic corneal scars.