Article Text

Download PDFPDF
Transepithelial photorefractive keratectomy for the management of hyperopic regression after conductive keratoplasty
  1. Alessandro Meduri1,
  2. Federica Alessandrello1,
  3. Miguel Rechichi2 and
  4. Pasquale Aragona1
  1. 1Ophthalmology Unit, Department of Biomedical Sciences, University Hospital of Messina, Messina, ME, Italy
  2. 2Centro Polispecialistico Mediterraneo, Sellia Marina, Catanzaro, Catanzaro, Italy
  1. Correspondence to Professor Alessandro Meduri; ameduri{at}


Several refractive techniques are available for the treatment of hyperopia. Conductive keratoplasty (CK) is a safe and non-ablative procedure suitable for the treatment of low hyperopia and presbyopia. Due to the high rate of regression, it is not a commonly used technique. There is minimal literature about the use of refractive procedures for the treatment of hyperopic regression after CK. We report a case of a 49-year-old man who had undergone bilateral CK 15 years before for the correction of his hyperopia. He experienced a regression, with sph +2.75 cyl −0.50(20) in the right eye and sph +2.50 cyl −0.75(170) in the left eye. Transepithelial photorefractive keratectomy (tPRK) was performed with Schwind Amaris 750 s. After 12 months, his best-corrected visual acuity was 20/20, with −0.25 sph in both eyes. To the best of our knowledge, this is the first reported case of tPRK performed after CK.

  • ophthalmology
  • anterior chamber

Statistics from


  • Contributors All authors contributed to visit the patient, define the treatment, write and revise the manuscript draft.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.