5 Key Takeaways

• 1

  Fitting irregular corneas after penetrating keratoplasty presents challenges due to graft tilt and elevation affecting lens centration.

• 2

  Conventional contact lenses often fail on irregular corneas due to mechanical strain or poor centration over graft-host junctions.

• 3

  The ROSE K2 XL Oblate lens was selected for its reverse-geometry design, customizable edge lift, and flexible diameter.

• 4

  A final base curve of 7.1 mm was chosen to ensure adequate clearance over the nasal graft junction and prevent mechanical trauma.

• 5

  Integrating corneal tomography with AS-OCT allows for precise assessment of clearance, promoting optimal corneal health and patient comfort.