[Rotational penetrating autokeratoplasty. Report of 10 cases in West Africa].

The authors presented 10 patients (1 bilateral) of central corneal scars treated by ipsilateral rotating autokeratoplasty in West Africa. By rotating an excentric corneal button, the scar could be displaced peripherally and clear cornea brought into the visual axis. The method may be indicated when a non progressive central scar was present in a otherwise clear and normal cornea. The method of Bourne and Brubaker could be useful for determining the most appropriate trephine size and placement. Good visual results were obtained for 7 eyes. Complications undergone in three eyes. The procedure alleviates difficulties with the availability of donor tissue and with graft rejection.