PURPOSE To report the outcomes of a simple and effective office-based procedure for the correction of astigmatism after deep anterior lamellar keratoplasty (DALK). METHODS This study enrolled 24 consecutive keratoconic eyes that developed an intolerable amount of graft astigmatism after DALK. The location and extension of steep semi-meridians were determined using corneal topography. Office-b...

Unusual Secondary Displacement of Intacs Segments—Superimposition of Distal Ends We report a case of unusual secondary displacement of intrastromal corneal ring segments (Intacs; Addition Technology, Des Plaines, Illinois) away from the incision to the extent that the inferior ends overlapped in the tunnel. A 57-year-old man presented with unilateral keratoconus in the left eye with recent cont...

PURPOSE To observe the first 24-hour (h) outcomes of the small incision lenticule extraction procedure (SMILE) for myopia and myopic astigmatism. METHODS Fifty-three eyes (27 patients) scheduled for SMILE were followed immediately (0 h), 2, 4, 6, and 24 h after SMILE. Uncorrected visual acuity (UCVA), conjunctival congestion, pain level, and corneal edema, thickness, and densitometry were rec...

PURPOSE To present case examples outlining the use of wavefront aberrometry for toric intraocular lens (IOL) implantation pre- and postoperatively. METHODS Twelve eyes that underwent AcrySof Toric IOL (Alcon Inc Laboratories) implantation were assessed pre- and postoperatively using the NIDEK OPD Scan II (NIDEK Co Ltd). Wavefront aberrometry, corneal topography, and objective visual quality w...

BACKGROUND To report a surgical method for treating corneal oedema in a case of late-onset Descemet membrane detachment after penetrating keratoplasty. CASE PRESENTATION A 55-year old patient presented with sudden visual loss in his left eye 28 years after penetrating keratoplasty for keratoconus. Slit-lamp biomicroscopy revealed a distortion of the corneal graft anatomy with protrusion of th...

BACKGROUND To evaluate the 5-year results of Refractive Lenticule Extraction (ReLEx) as Small Incision Lenticule Extraction (SMILE) technique for treatment of myopia and myopic astigmatism. METHODS In 2008/2009, the worldwide first 91 eyes were treated using a novel surgical technique (SMILE), where a refractive lenticule of intrastromal corneal tissue is removed though a small incision compl...

BACKGROUND To report a case of interface fluid syndrome (IFS) following small incision lenticule extraction (SMILE) evaluated with corneal densitometry and optical coherence tomography (OCT). CASE PRESENTATION An 18-year-old man reported sudden vision loss 24 days after SMILE procedure. Intraocular pressure (IOP) was 36.3 mmHg (OD) and 36.7 mmHg (OS) by noncontact tonometry. Moderate corneal ...