PURPOSE To evaluate the clinical outcome in 29 patients (29 eyes) who underwent penetrating keratoplasty and scleral-fixation of an intraocular lens. METHODS The indications for penetrating keratoplasty with scleral-fixation of an intraocular lens were anterior chamber pseudophakic corneal edema, aphakic corneal edema, trauma, and corneal scars. Patients with pseudophakic corneal edema underw...

PURPOSE Reattaching extraocular muscles by the conventional suturing method may be complicated by scleral perforation. The attachment of extraocular muscles, using fibrin sealants, avoids such risk. The authors evaluated the use of fibrin sealant in a laboratory rabbit model. METHODS Fifty-eight eyes of 29 rabbits were used in the study. In both eyes of each rabbit, the superior rectus muscle...

Management of the subluxed lens in Marfan’s syndrome presents one of the most challenging situations in contemporary lens surgery. Conventional approaches have included intracapsular lens extraction or a pars plana lensectomy with vitrectomy. Once the lens was removed, aphakia was corrected by glasses, contact lenses or an iris or angle supported anterior chamber IOL or a scleral sutured poster...

PURPOSE In this experimental study, a sutureless scleral buckling was performed by using a tissue adhesive glue to fixate a silicone band to the sclera. In fact, one of the major risks of traditional scleral buckling is accidental perforation of the bulb, which is more frequent when the sclera is extremely thin as it is in newborns or in eyes with high myopia or scleromalacia. METHODS An enci...

PURPOSE To measure the amount and duration of indentation depth achieved with biodegradable poly-L/D-lactide 96/4 (PLA96) and silicone sponge implants. METHODS Thirty rabbits underwent a scleral buckling procedure. A PLA96 buckling implant was used in 15 rabbits and a silicone sponge buckling implant was in 15 rabbits. A circumferential scleral buckling implant was sutured episclerally on the...

A 46-year-old myopic white male developed severe hypotony maculopathy with a visual acuity of 8/200 and an IOP of 3 mm Hg 2 weeks after combined phacoemulsification and trabeculectomy with mitomycin C for juvenile glaucoma. Despite success with surgical revision of the bleb in cases of posttrabeculectomy hypotony maculopathy,1-3 we were aware that reopening the conjunctival flap still posed a r...