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Postoperative Management

Postoperative topical antibiotics are used for several weeks and topical corticosteroids for several months. In some patients, fuzzy vision caused by corneal astigmatism can be reduced in the early postoperative period by suture adjustment or selective suture removal. Achievement of full visual potential may take up to 1 yr because of changing refraction, slow wound healing, and/or corneal astigmatism. In many patients, earlier and better vision is attained with a rigid contact lens over the corneal transplant. To protect the eye from inadvertent trauma after transplantation, the patient wears shields, glasses, or sunglasses. In addition, patients are advised to avoid bending over completely, lifting heavy objects, or straining.