Eccentric Graft
![Eccentric Penetrating Keratoplasty](https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_200/public/media/images/2022-05/eccentric-graft.jpeg?itok=hZlx36s- 200w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_260/public/media/images/2022-05/eccentric-graft.jpeg?itok=Iu4l5K5W 260w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_320/public/media/images/2022-05/eccentric-graft.jpeg?itok=OtbzlGLg 320w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_400/public/media/images/2022-05/eccentric-graft.jpeg?itok=7c43A4eo 400w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1600/public/media/images/2022-05/eccentric-graft.jpeg?itok=DIMXOwFI 450w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_520/public/media/images/2022-05/eccentric-graft.jpeg?itok=FyZk7Yd0 520w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_640/public/media/images/2022-05/eccentric-graft.jpeg?itok=A7-XUjlA 640w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_800/public/media/images/2022-05/eccentric-graft.jpeg?itok=df9iH70i 800w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1040/public/media/images/2022-05/eccentric-graft.jpeg?itok=D0woEUAN 1040w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1280/public/media/images/2022-05/eccentric-graft.jpeg?itok=Dlg21K8b 1280w)
- Can be seen:
- After rotating autokeratoplasty, which was performed when a small corneal scar impinges on the center of cornea but the rest of the cornea is normal.
- Eccentric trephine cut may be done when significant corneal scar or opacity extends towards one side of the corneal periphery to avoid an excessively large graft.
- Disadvantages: quality of optical result usually less than normal centered graft.