Abstract
Purpose: To present a case with central corneal opacity in which the patient underwent ipsilateral rotational autokeratoplasty. Method: Interventional case report. Result: A 26 year-old man suffered a penetrating injury in his right center cornea. One month later, traumatic cataract occurred and he received surgery for extracapsular cataract extraction and posterior intraocular lens implantation. The postoperative visual acuity was 6/10. Five months after the cataract surgery, because of an intolerable glare and diplopia caused by a central corneal scar, ipsilateral rotational autokeratoplasty was performed with 7.5mm trephine size. No surgical complications were noted at a 9-month follow-up. The final best corrected visual acuity was improved to 6/6.7 with resolution of the glare and diplopia. Conclusion: Ipsilateral rotational keratoplasty is a safe and effective treatment for central corneal opacity. It can be an alternative to penetrating keratoplasty in such cases.
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