- Symptoms: usually asymptomatic.
- Tight sutures in one or multiple areas immediately after penetrating keratoplasty is not an uncommon finding.
- Although they may induce irregular astigmatism, the corneal curvature will change over time during the healing process.
- Suture replacement is very rarely if at all never been indicated.
- Routine follow up and careful graft evaluation is the mainstay of management.