Femtosecond Laser-Assisted Ipsilateral Rotational Lamellar Autokeratoplasty

To describe the surgical technique and report the outcomes of 2 patients treated with femtosecondlaser-assisted ipsilateral rotational lamellar autokeratoplasty in central corneal scars.The corneal scardepth was mapped using preoperative optical coherence tomography. An eccentric lamellar lenticule was cut with a femtosecondlaser and rotated to decenter corneal opacityand free the pupil area in 2 patients with nonprogressive central corneal scars. The surgical planwas set after simulating lenticule rotation with a digital corneal image and computer software.In both cases, the corneal scarwas decentered inferiorly, out of the pupillary area, with increased postoperative visual acuity but visual outcome limitations secondary to corneal irregularities and residual deep opacity.Femtosecond laser-assisted ipsilateral rotational lamellar autokeratoplasty is effective for shifting central corneal opacitiesand can be considered in appropriate cases.