• Management of post-PK severe astigmatism (PKa) w/ partial wound re-suturing (wRS) combined with CXL Description: This video illustrates our technique in treating post-keratoplasty keratoconus eyes with severe astigmatism that is diagnostically attributed to graft-host interface weakening and partial dehiscence. We treat with partial wound re-suturing combined with CXL, UDVA, CDVA, ECD, refraction, topography, tomography (Scheimpflug and OCT-based) were used for at least 12 month follow-up evaluation and in mean value (when looking at 24 similar cases) change: UDVA from 20/200 to 20/60, CDVA 20/60 to 20/25, ECD; unchanged, cylinder in Diopters from 8.5 to 2.5, all corneal imaging documented improved normalization!! Post-keratoplasty severe astigmatism is common and may result from inferior wound weakening and partial dehiscence that may be effectively rehabilitated with this novel combined technique and of course carefully differenctiated from simple astigmatism that can be treated with PRK and/or LASIK. Level: Advanced Uploaded By: A. Kanellopoulos