Abstract
Astigmatic keratotomy is used conventionally to correct moderate surgical astigmatism. However, cases with very high surgical astigmatism due to wound compression can show a dramatic response to relaxing keratotomies made in the steeper meridian. The effect obtained cannot be predicted pre-operatively by using standard nomograms. Coupled arcuate keratotomies combined with corneal valvular incisions were performed in a case of high astigmatism post-cataract surgery. Coupled arcuate keratotomies were combined with a corneal valvular incision enabled a surgical correction of nearly 9 D of astigmatism.
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