The aim of this study is to report a rare case of traumatic complete loss of a donor corneal button successfully resolved by a 24-h implantation of a temporary kerato-prosthesis. A healthy 30-year-old man with a history of prior penetrating keratoplasty (PKP) presented with an open globe following accidental contusive trauma with a ball, while he was playing football. At slit-lamp evaluation, complete dehiscence of the wound at the graft-host junction and complete corneal button loss was evident.
View Article and Find Full Text PDFWe report a severe case of diffuse lamellar keratitis (DLK) following femtosecond laser-assisted in situ keratomileusis (femto-LASIK). A 25-year-old man was submitted to 150 kHz iFS® IntraLase-assisted LASIK in both eyes for compound myopic astigmatism. The day after surgery, clinical examination showed a diffuse whitish granular cell reaction particularly in the right eye.
View Article and Find Full Text PDFBackground: Among the many different intraocular foreign bodies (IOFBs), eyelashes represent an uncommon finding almost invariably associated with a history of penetrating trauma. The authors describe a woman who had no signs and denied any history of trauma with an odd-looking, whitish, worm-like IOFB eventually identified by pathologic analysis as a cilium.
Case Report: A 58-year-old lady complaining of floaters with mild loss of vision and redness presented to our institution.
Purpose: To evaluate the role of corneal structural resistance as a surgical failure factor in deep lamellar keratoplasty (DLK).
Method: A total of 10 eyes of 10 patients underwent DLK at the Ophthalmic Hospital in Rome. The big bubble technique was performed for deep stromal dissection by air injection.
In March 1999, a 35-year-old woman had uneventful laser in situ keratomileusis in both eyes on the same day. Five days postoperatively, slitlamp biomicroscopy of the left eye showed an appearance similar to haze after photorefractive keratectomy, with greater density at the center and striae convergent toward the infiltrate (stage 4 diffuse lamellar keratitis [DLK]). The patient received treatment with dexamethasone 0.
View Article and Find Full Text PDFPurpose: To evaluate the safety, predictability, and efficacy of sutureless synthetic keratophakia (SSK) with PermaVision intracorneal lens (Anamed) implantation.
Setting: Ophthalmic Hospital, Rome, Italy.
Methods: This retrospective study analyzed the refractive outcomes in 10 eyes of 6 patients who had SSK with PermaVision lens implantation for spherical hyperopia (cylinder less than 1.