Annular keratotomy for the treatment of painful bullous keratopathy

Am J Ophthalmol. 1996 Jan;121(1):93-4. doi: 10.1016/s0002-9394(14)70540-9.


Purpose: To determine whether annular keratotomy can relieve pain associated with bullous keratopathy.

Methods: Three patients with painful bullous keratopathy and poor visual potential underwent partial-thickness (0.30 to 0.42 mm) trephination of the cornea under local anesthesia.

Results: All patients reported an absence of pain and foreign body sensation during an average follow-up interval of six months. The surgical procedure was uncomplicated; however, two eyes developed increased central corneal stromal edema.

Conclusions: Annular keratotomy appears to be a relatively safe and simple surgical procedure that may be useful in managing pain in eyes with painful cornea edema and poor visual potential.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anesthetics, Local / administration & dosage
  • Cornea / surgery*
  • Corneal Edema / complications*
  • Female
  • Humans
  • Keratotomy, Radial / methods*
  • Male
  • Middle Aged
  • Pain / etiology
  • Pain / surgery*
  • Visual Acuity


  • Anesthetics, Local