AIMS To report the special clinical manifestations and determine the appropriate management of infectious scleral ulceration. METHODS A retrospective study was performed on 30 eyes with infectious scleral ulceration. Information was recorded on patients' age, onset and course of disease, pathogenic organism, clinical presentations, methods of diagnosis, treatment, and outcome. RESULTS 10 ca...

THE simple method of dissecting a corneo-scleral button from the donor eye described below is useful in maintaining a uniform plane of dissection for lamellar grafts because a dark background is provided by the uveal tissue kept in situ with the preserved donor cornea. After enucleation the eye is washed with sterile normal saline, kept immersed in 1: 5000 solution of Merthiolate for 5 minutes,...

Pre-existing scleral pathology is an important risk factor for globe rupture during scleral buckling procedures. We report here, the surgical management of an unexpected scleral pathology found at the scleral buckling procedure in a retinal detachment patient. A 77-year-old white female with retinal detachment underwent a scleral buckling procedure. The surgery was converted into a scleral graf...

Examination.-The visual acuity in the right eye was 6/4 and that in the left 6/6. The right eye was moderately injected and examination revealed a very fine perforating wound of the cornea at 3 o'clock about 4 mm. in from the limbus. The slit lamp showed but few cells in the anterior chamber. The pupil dilated freely, the lens and vitreous were both clear, and no intra-ocular foreign body was v...

PURPOSE To assess the occurrence and magnitude of corneal topographic changes in phakic eyes undergoing Transconjuctival Cannulated 20 gauge Vitrectomy (TC20V) without scleral buckling or silicone oil tamponade. SETTING Prospective randomized controlled study done at Egyptian Eye Academy. METHODS Forty eyes of 40 patients underwent TC20V for a variety of vitreo-retinal conditions over a 1 y...

Purpose To compare surgically induced astigmatism (SIA) and refractive outcomes between two operation methods for late in-the-bag IOL dislocation. Methods In this prospective, randomized, parallel-group clinical trial, 104 patients (eyes) were assigned to IOL repositioning by scleral suturing 1.5- to 2-mm posterior to limbus (n = 54) or IOL exchange with a retropupillar iris-claw IOL using a ...