ber, similar to fungi. Recently, microsporidia have been phylogenetically shown to be fungi, and their tissue behavior akin to that of fungi would be expected. Our patient had clinical features of herpetic viral endotheliitis at the initial visit, which improved initially with antiviral treatment. There is a possibility that the patient may have had viral keratitis initially and then became sec...

392 A 17‐year‐old female with a several‐year history of bilateral keratoconus was visited about 1 year prior to deep anterior lamellar keratoplasty (DALK) in her right eye (OD). History‐wise, she was intolerant to glasses and contact lenses and her past medical history and family history were unremarkable. On ocular examination, she had visual acuity (VA) of 2 meters counting fingers (CF) in ea...

Stromal disease (ectasia, opacities, scars, or melting) that occurs after penetrating keratoplasty (PK) can variously affect visual outcome.1,2 To date, even in the presence of healthy endothelium, this typeof complicationhasbeen treatedwith subsequentPK.3 Instead, the selective replacement of the diseased stroma by means of deep anterior lamellar keratoplasty (DALK) using pneumatic dissection ...

purpose: to compare visual outcomes after deep anterior lamellar keratoplasty (dalk) between eyes with and without successful big-bubble formation. methods: in this retrospective comparative study, a total of 290 consecutive eyes from 257 keratoconus-affected patients underwent dalk with the big-bubble technique were enrolled. in cases where the big bubble could not be accomplished, manual stro...

We report a case of tectonic corneal transplantation for impending corneal perforation to preserve anatomic integrity using cryopreserved donor tissue. An 82-year-old woman exhibiting impending corneal perforation suffered from moderate ocular pain in the left eye for one week. After abnormal tissues around the impending perforation area were carefully peeled away using a Crescent blade and Van...

become their better seeing eye. The growing literature on the management of HIV related retinal detachment provides other useful insights into the disease process and also the surgical use of silicone oil. Published series have varied in their reported incidence of proliferative vitreoretinopathy. 5 6 8–11 There is, however, a consensus that epiretinal membrane formation does occur in these cas...

Penetrating keratoplasty (PKP) has a long track record of high success rates compared to other tissue and organ transplantations. Despite the immunologic privilege of the cornea, the issue of immunological rejection cannot be overlooked and endothelial rejection is observed in up to 20% of eyes undergoing PKP. 1 Repeat keratoplasties after rejection are increasingly more prone to rejection and ...