Fitting Irregular Corneas Secondary to Penetrating Keratoplasty

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Fitting irregular corneas after penetrating keratoplasty presents challenges due to graft tilt and elevation affecting lens centration.
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Conventional contact lenses often fail on irregular corneas due to mechanical strain or poor centration over graft-host junctions.
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The ROSE K2 XL Oblate lens was selected for its reverse-geometry design, customizable edge lift, and flexible diameter.
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A final base curve of 7.1 mm was chosen to ensure adequate clearance over the nasal graft junction and prevent mechanical trauma.
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Integrating corneal tomography with AS-OCT allows for precise assessment of clearance, promoting optimal corneal health and patient comfort.

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