AIMS To describe the fitting of patients with high or irregular astigmatism following penetrating keratoplasty with contact lenses and to answer the question whether or not contact lenses with special back surface design can improve visual acuity in complex cases after penetrating keratoplasty. METHODS 28 eyes were included. They were fitted with contact lenses with a special back surface tha...

Stenotrophomonas maltophilia (S. maltophilia) is an emerging opportunistic ocular pathogen that should be included in the diff erential diagnosis of progressive keratitis in penetrating keratoplasty. Prognosis is poor because of the existence of co-infections and high antibiotic resistance. Th e present study reports two cases of keratitis caused by S. maltophilia in patients with penetrating k...

a 53 year-old woman presented with corneal edema 25 years after uneventful penetrating keratoplasty for keratoconus. she was initially misdiagnosed with acute endothelial rejection; however by observation of descemet’s membrane detachment, a diagnosis of late onset corneal hydrops following corneal transplantation was made. this is a rare complication which may occur many years after penetratin...

PURPOSE To report the indications and techniques of corneal transplantation at a tertiary referral center in Tehran over a 3-year period. METHODS Records of patients who had undergone any kind of corneal transplantation at Labbafinejad Medical Center, Tehran, Iran from March 2004 to March 2007 were reviewed to determine the indications and types of corneal transplantation. RESULTS During th...

introduction epithelial rejection typically begins in a linear pattern from the periphery of the graft and progresses centripetally. here in, we reported a patient with a new presentation of corneal epithelial graft rejection. case presentation a 23-year-old man presented with blurred vision two months after penetrating keratoplasty. conclusions slit lamp examination revealed sharply demarcated...

purpose : to review the visual outcome and complications of deep anterior lamellar keratoplasty (dalk) using the big-bubble technique in patients with corneal ectasia methods : eighteen consecutive patients with keratoconus or post-lasik ectasia with poor spectacle-corrected visual acuity and/or contact lens intolerance were enrolled in this study between october 2005 and september 2006. dalk b...

BACKGROUND Epithelial downgrowth is a rare complication of ocular surgery. While the features of epithelial downgrowth following corneal transplantation are well described, its association with primary graft failure has only been reported once previously. We report a case of primary corneal graft failure (PGF) associated with retrocorneal epithelial cell ingrowth. CASE PRESENTATION A 59 year-...

In 1995, a 46-year-old woman was referred for refractive surgery. Eleven years earlier, she had undergone an uncomplicated penetrating keratoplasty in her right eye to treat a dense corneal opacity caused by contact lens-related microbial keratitis. Due to high myopia in the graft, she was unable to achieve useful vision and declined contact lens use. After extensive counseling, she elected to ...

purpose: to determine whether adding 2% topical cyclosporine (csa) to local and systemic steroids in treatment of endothelial corneal allograft rejection improves the outcome. methods: a prospective randomized treatment trial was carried out on 40 consecutive corneal graft recipients, presenting with the first episode of endothelial graft rejection in two groups. group one (20 patients) receive...