Publications by authors named "C Rapuano"
Purpose: To identify areas of consensus among experts on the performance of endothelial keratoplasty by using a modified Delphi approach, to help create a framework for novice surgeons to adopt these procedures.
Methods: Thirty-one international experts in endothelial keratoplasty participated. Two rounds of electronic survey were followed by a hybrid, virtual meeting.
Objectives: To evaluate demographic, socioeconomic, and clinical factors associated with nonadherence with initial follow-up after a diagnosis of infectious keratitis.
Methods: A retrospective chart review of patients aged 18 to 60 years who were diagnosed with infectious keratitis at the Wills Eye Hospital Emergency Room from March 2019 to September 2019 was conducted. The primary outcome was nonadherence with initial follow-up recommendation and included patients who did not follow-up in the time frame requested by the diagnosing physician and those who were lost to follow-up.
Article Synopsis
- * Chronic exposure to BAK can damage various parts of the eye and trigger inflammation, which complicates treatment and may diminish the success of surgeries for glaucoma patients.
- * To mitigate BAK's harmful effects, switching to preservative-free eye drops or less toxic alternatives is recommended, along with considering non-drug treatments to enhance patient comfort and prevent further complications.
Article Synopsis
- The study investigates the demographics and clinical features of patients who experienced graft failure after keratoplasty, focusing on both Penetrating Keratoplasty (PK) and Descemet's Stripping Endothelial Keratoplasty (DSEK) methods over a five-year period.
- A total of 186 eyes from 170 patients were analyzed, finding that DSEK failures mostly happened within the first year and were generally linked to surgical risks, while PK failures were more gradual and associated with patient-related factors.
- PK patients had a higher incidence of multiple graft failures compared to those who had DSEK, suggesting that DSEK may be less influenced by demographic and clinical characteristics of patients than PK.
Purpose Of Review: The field of corneal biomechanics has rapidly progressed in recent years, reflecting technological advances and an increased understanding of the clinical significance of measuring these properties. This review will evaluate in-vivo biomechanical properties obtained by current technologies and compare them regarding their relevance to established biomechanical properties obtained by gold-standard ex-vivo techniques normally conducted on elastic materials.
Recent Findings: Several new technologies have appeared in recent years, including vibrational optical coherence tomography (VOCT) and the corneal indentation device (CID).