A thirty-year-old Chinese man with a history of severe trauma to his right eye, with secondary sectoral aniridia and multiple operations including intraocular lens insertion more than fifteen years ago, underwent an uneventful Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK) for his pseudophakic bullous keratopathy in a tertiary hospital in Hong Kong. The nature of his previous o...

Purpose: This case report illustrates the difficult management of complications produced following the bilateral iris implant of the NewColorIris (NewColorIris, Kahn, and Medical Devices. Methods: We report the case of a 36-year-old man who was referred to our outpatient clinic because of bilateral glaucoma showing a poor response to medical treatment and anti-glaucoma surgery. The young man ha...

PURPOSE To evaluate the outcomes of the hybrid technique of posterior lamellar keratoplasty (DMEK-S). MATERIALS AND METHODS 71 eyes of 55 patients enrolled in a single-center study underwent posterior lamellar keratoplasty with a hybrid lamella DMEK-S implanted using a solution implantation technique, owing to endothelial dysfunction. The outcome measures studied were visual acuity and endoth...

Aims: To describe a technique that uses a transcorneal fixation suture for graft attachment in endothelial keratoplasty in high-risk for graft dislocation eyes. Materials and Methods: Case series included 12 eyes of 12 patients who underwent Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) in the presence of high risk for graft dislocation factors. We describe a surgical technique ...

Penetrating corneal transplant (PKP) surgery has been performed for centuries as the procedure of choice to restore vision in cases of advanced corneal disease. However, the last two decades have seen the introduction of lamellar corneal surgery (deep anterior lamellar keratoplasty, DALK; Descemet stripping-automated endothelial keratoplasty, DSAEK; and Descemet membrane endothelial keratoplast...

PURPOSE Present a case of dislocation of an Implantable Collamer Lens (ICL) that occurs after blunt trauma and review the published literature on this topic. METHODS Case report and literature review using PubMed. RESULTS A 44 year-old male presented to the emergency department with sudden onset of blurry vision after blunt trauma to the left eye. Three years prior, he had undergone bilater...

although the majority of the cornea was nonedematous, there was marked corneal edema in the area of the GV markings with bulla noted (Figure 1). Over several weeks, the edema gradually resolved with interface haze in the area of prior edema. The visual acuity resolved to 20/40 without correction. Case 2. A 67-year-old woman with a history of Fuchs endothelial dystrophy presented with gradual on...

NOVEMBER/DECEMBER 2010 CATARACT & REFRACTIVE SURGERY TODAY EUROPE 23 F ull-thickness penetrating keratoplasty (PKP) has been the preferred corneal transplantation technique since the procedure was first described in 1905 by Eduard Zirm.1 Today, PKP generally results in clear corneal grafts, with a graft survival rate of up to 72% at 5 years.2 However, the procedure is frequently complicated by ...

PURPOSE To describe a novel technique of using Spectral-domain (SD) anterior segment optical coherence tomography (SD-OCT) in the evaluation of corneal epithelial healing under a therapeutic contact lens (TCL) after lamellar keratoplasty and Epi-LASIK procedures. DESIGN Prospective, non-comparative, observational case series. METHODS Ten eyes of eight patients undergoing lamellar corneal tr...