{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:37:59Z","timestamp":1791916679270,"version":"4.3.4"},"reference-count":74,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2023,5,14]],"date-time":"2023-05-14T00:00:00Z","timestamp":1684022400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Astigmatism is a visually significant condition that can develop after keratoplasty. The management of post-keratoplasty astigmatism can be performed both when transplant sutures are in place and when they have been removed. Fundamental for astigmatism management is its identification and characterization in terms of type, amount, and direction. Commonly, post-keratoplasty astigmatism is evaluated through corneal tomography or topo-aberrometry; however, many other techniques can be used in case these instruments are not readily available. Here, we describe several low-tech and high-tech techniques used for post-keratoplasty astigmatism detection in order to quickly understand if it contributes to low vision quality and to determine its characteristics. The management of post-keratoplasty astigmatism through suture manipulation is also described.<\/jats:p>","DOI":"10.3390\/jcm12103462","type":"journal-article","created":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T02:02:11Z","timestamp":1684116131000},"page":"3462","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Managing Post-Keratoplasty Astigmatism: High-Tech vs. Low-Tech Imaging Techniques for Guiding Suture Manipulation"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3976-242X","authenticated-orcid":false,"given":"Alfredo","family":"Borgia","sequence":"first","affiliation":[{"name":"Eye Unit, Humanitas-Gradenigo Hospital, 10153 Turin, Italy"},{"name":"Department of Corneal Diseases, St. Paul\u2019s Eye Unit, Royal Liverpool University Hospital, Liverpool L7 8YE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5148-7643","authenticated-orcid":false,"given":"Vito","family":"Romano","sequence":"additional","affiliation":[{"name":"Department of Corneal Diseases, St. Paul\u2019s Eye Unit, Royal Liverpool University Hospital, Liverpool L7 8YE, UK"},{"name":"Eye Clinic, Department of Neurological and Vision Sciences, University of Brescia, 25125 Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8961-242X","authenticated-orcid":false,"given":"Davide","family":"Romano","sequence":"additional","affiliation":[{"name":"Eye Clinic, Department of Neurological and Vision Sciences, University of Brescia, 25125 Brescia, Italy"},{"name":"Eye Unit, University Hospitals of Leicester, NHS Trust, Leicester LE1 5WW, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8534-6817","authenticated-orcid":false,"given":"Luca","family":"Pagano","sequence":"additional","affiliation":[{"name":"Department of Corneal Diseases, St. Paul\u2019s Eye Unit, Royal Liverpool University Hospital, Liverpool L7 8YE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9346-9267","authenticated-orcid":false,"given":"Aldo","family":"Vagge","sequence":"additional","affiliation":[{"name":"IRCCS Ospedale Policlinico San Martino, University Eye Clinic of Genoa, 16132 Genova, Italy"},{"name":"Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health 19 (DiNOGMI), University of Genoa, 16132 Genova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2617-0289","authenticated-orcid":false,"given":"Giuseppe","family":"Giannaccare","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University Magna Gr\u00e6cia of Catanzaro, 88100 Catanzaro, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4905-5884","authenticated-orcid":false,"given":"Mahmoud","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Corneal Diseases, St. Paul\u2019s Eye Unit, Royal Liverpool University Hospital, Liverpool L7 8YE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunal","family":"Gadhvi","sequence":"additional","affiliation":[{"name":"Department of Corneal Diseases, St. Paul\u2019s Eye Unit, Royal Liverpool University Hospital, Liverpool L7 8YE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2512-4889","authenticated-orcid":false,"given":"Nardine","family":"Menassa","sequence":"additional","affiliation":[{"name":"Department of Corneal Diseases, St. Paul\u2019s Eye Unit, Royal Liverpool University Hospital, Liverpool L7 8YE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5972-0358","authenticated-orcid":false,"given":"Mohammad","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Corneal Diseases, St. Paul\u2019s Eye Unit, Royal Liverpool University Hospital, Liverpool L7 8YE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0390-0592","authenticated-orcid":false,"given":"Stephen","family":"Kaye","sequence":"additional","affiliation":[{"name":"Department of Corneal Diseases, St. Paul\u2019s Eye Unit, Royal Liverpool University Hospital, Liverpool L7 8YE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2410-6366","authenticated-orcid":false,"given":"Giulia","family":"Coco","sequence":"additional","affiliation":[{"name":"Department of Corneal Diseases, St. Paul\u2019s Eye Unit, Royal Liverpool University Hospital, Liverpool L7 8YE, UK"},{"name":"Department of Clinical Science and Translational Medicine, University of Rome Tor Vergata, 00133 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,5,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1001\/jamaophthalmol.2015.4776","article-title":"Global Survey of Corneal Transplantation and Eye Banking","volume":"134","author":"Gain","year":"2016","journal-title":"JAMA Ophthalmol."},{"key":"ref_2","unstructured":"Williams, K.A., Keane, M.C., Coffey, N.E., Jones, V.J., Mills, R., and Coster, D.J. 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