A 19-year-old male with congenital hereditary endothelial dystrophy (CHED) presented with severe bilateral corneal clouding precluding any view of the intraocular structures. He underwent modified Descemet's stripping automated endothelial keratoplasty (DSAEK) technique including a suture pull-through technique to prevent lens damage. Surgery resulted in progressive clearing of the cornea and d...

Toxic anterior segment syndrome (TASS) developed in four cases after uneventful implantation of a foldable iris-fixated phakic intraocular lens (pIOL). Two cases occurred sequentially in one patient. The TASS subsided without complications in all cases after intensive topical steroid treatment. A multitude of possible causes is considered for the occurrence of these TASS cases. From the sterili...

PURPOSE To present a case of traumatic dislocation of an Ophtec Artisan phakic intraocular lens (PIOL) and an analysis of the endothelial cell count. METHODS The patient presented with blurred vision in his left eye after sustaining a brow laceration. History included uncomplicated bilateral implantation of an Artisan PIOL to correct myopia. RESULTS The brow laceration was sutured and topic...

Purpose: To provide a summary of the most recent evidence-based data on the paediatric refractive surgery. Methods: A review of the published studies from 1990 to 2015 was undertaken with emphasis on recent articles from 2010 to 2015. Results: Searching Scopus and PubMed, using the keywords of refractive surgery, phakic, paediatric, IOL, children and amblyopia alone or in various combinations y...

Dear Sir: I would like to congratulate Drs Pareja-Esteban J et al for their article titled “Brown-McLean syndrome and refractive phakic anterior chamber intraocular lenses” (1). The purpose of this letter is to clarify the concept of the Brown-McLean syndrome or circumferential peripheral corneal edema which appears as idiopathic due to a number of cases with anterior chamber refractive intra-o...

OBJECTIVE To describe the use of transepithelial phototherapeutic keratecomy for the long-term treatment of post-laser in situ keratomileusis (LASIK) flap macrostriae. METHOD We present the case of a 22 year old male with visual loss in the left eye due to chronic flap macrostriae that was treated with transepithelial PTK. RESULTS Striae and haze were no longer visible, with a significant i...