Objective:

To explore alternatives to corneal transplant for managing corneal scarring and improving vision.

Key Findings:

• Superficial scarring may resolve with time or medical management.
• Deeper scarring often requires surgical intervention.
• Scleral lenses can significantly improve vision without surgery.
• Medical management is crucial before considering surgical options.
• Keratoplasty carries a risk of rejection, but anterior lamellar keratoplasty reduces this risk.

Interpretation:

Corneal scarring management should prioritize medical treatments and non-surgical options before resorting to surgery, with careful consideration of scarring depth and location.

Limitations:

• Limited studies on the efficacy of topical losartan.
• Potential for hyperopic shift after surgical treatments.
• Risk of complications and graft rejection with keratoplasty.

Conclusion:

Addressing corneal scarring is vital for optimal vision, with a range of medical and surgical options available to enhance patient outcomes.