Penetrating keratoplasty from a temporal approach

PURPOSE: To describe the technique of penetrating keratoplasty using a temp oral approach. METHODS: Report of two cases of phakic penetrating keratoplasty performed w ith the surgeon positioned at the temporal side of the head. RESULTS: The temporal approach improved the surgical exposure,which elimina ted the need for a bridal suture, facilitated the placement of the first tw o cardinal sutures, and facilitated subsequent placement of nasal sutures. CONCLUSION: The temporal approach to penetrating keratoplasty may facilitat e suture placement, decrease surgical time, and reduce suture-induced astig matism. (C) 2000 by Elsevier Science Inc. All rights reserved.