Long-term results of corneal wedge resections for the correction of high astigmatism

V P Hoppenreijs, G van Rij, W H Beekhuis, W J Rijneveld, E Rinkel-van Driel

    Research output: Contribution to journalArticleResearchpeer-review


    We retrospectively evaluated 41 corneal wedge resections, performed for the correction of high astigmatism in 40 patients who were spectacle and contact lens intolerant. Keratometric astigmatism decreased from an average of 11.7 diopters (range 5 to 22.5 D) preoperatively to 3.5 diopters (range 0 to 10 D) postoperatively, representing a mean reduction of 8.2 D (range 0 to 16.5), or 70%. The length of follow-up averaged 11 months. Twenty-five, 15 and 9 cases had a follow-up of at least 3, 5 and 10 years, respectively. In 16 cases the keratometry readings remained stable over the years. However, in 1 case of Fuchs' endothelial dystrophy (follow-up 13 years) and 5 cases of keratoconus (follow-up 3, 4, 12, 13 and 14 years) the astigmatism gradually increased during the various follow-up periods. In 3 other cases the astigmatism gradually decreased over the years. Corneal wedge resection is an effective technique for managing high corneal astigmatism. The results remain stable over the years except in some patients with keratoconus.

    Original languageEnglish
    Pages (from-to)263-73
    Number of pages11
    JournalDocumenta ophthalmologica. Advances in ophthalmology
    Issue number3-4
    Publication statusPublished - Oct 1990


    • Adolescent
    • Adult
    • Aged
    • Aged, 80 and over
    • Astigmatism/etiology
    • Child
    • Cornea/surgery
    • Female
    • Follow-Up Studies
    • Humans
    • Longitudinal Studies
    • Male
    • Middle Aged
    • Postoperative Care
    • Postoperative Complications/surgery
    • Prognosis
    • Retrospective Studies
    • Surgical Procedures, Operative/methods
    • Visual Acuity


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