• Management of SEVERE Post-PK Astigmatism with Partial Wound Re-Suturing + CXL Description: Safety and efficacy of a novel technique combining wRS and CXL for PKa, is demonstrated. Keratoconus eyes with PKa treated with wRS combined with CXL are demonstrated herein. 90% depth wound exposure of at least 180 degrees, followed by interrupted-suture closure and simultaneous 0.25% riboflavin solution soaking and eventually 30mW/cm2 X 4.5 minutes (total 7.2 Joules) UV CXL. UDVA, CDVA, ECD, refraction, topography, tomography Scheimpflug and OCT-based data will be shown as well resulting in mean value changes: 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 astigmatism may require refractive intervention. Some cases may harbor a hidden risk: high astigmatism from graft-host wound dehiscence, and may require a different therapeutic approach such as the one described herein. Subspecialty: Refractive Management / Intervention Level: Intermediate Uploaded By: A. Kanellopoulos