Publications by authors named "Chetan Shakarwal"
Sutureless scleral fixation of intraocular lens (sSFIOL) is a commonly employed method of optical rehabilitation of aphakic patients with deficient capsular support, and corneal transplant surgeries can be simultaneously combined with sSFIOL to handle aphakic corneal opacities. A single-stage procedure circumvents the need for repeat intraocular procedures and carries lower risk of graft endothelial damage, endophthalmitis, and macular edema associated with sequential surgeries. However, it mandates surgical expertise and increases the chances of postoperative inflammation.
View Article and Find Full Text PDFPurpose: To evaluate the role of intraoperative optical coherence tomography (i-OCT) in donor grading, selection, and preparation during different types of keratoplasty.
Methods: Seventy-one consecutive donor corneas collected over 6 months, after clinical grading, were observed by an experienced corneal surgeon under an i-OCT equipped microscope. The donor preparation (manual/automated) for different types of keratoplasty procedures was also undertaken under i-OCT.
Article Synopsis
- The study examines the effectiveness of combining optical penetrating keratoplasty (PKP) with glued intrascleral haptic fixation (ISHF) in 18 patients with severely low vision and various eye conditions.
- Results indicate that half of the patients improved their vision post-surgery, but there was a high rate of graft failure (55.55%), with many occurring within the first year.
- The findings suggest that proper patient selection, thorough follow-up, and cautious secondary interventions are crucial due to the risk of complications and poor outcomes associated with the combined procedure.