Glaucoma management in patients with osteo-odonto-keratoprosthesis (OOKP): the Singapore OOKP Study.

Purpose: To report diagnostic modalities and treatment options for glaucoma in eyes with osteo-odonto keratoprosthesis (OOKP).

Methods: Eyes that underwent OOKP were evaluated for glaucoma at the time of the first postoperative visit, then at 1 and 3 months after the procedure, and thereafter every 6 months. All eyes underwent stereo-biomicroscopic optic nerve head (ONH) assessment, kinetic (Goldmann perimetry) and automated static visual field testing, ONH photography, Heidelberg retina tomograph, scanning laser polarimetery (GDx), and optical coherence tomography.

Femtosecond laser creation of donor cornea buttons for Descemet-stripping endothelial keratoplasty.

Purpose: To evaluate the accuracy of the thickness and diameter of corneal disks obtained with the Femtec femtosecond laser (20/10 Perfect Vision) for Descemet-stripping endothelial keratoplasty (DSEK).

Setting: Singapore National Eye Centre, Singapore.

Methods: A femtosecond laser was used to create posterior stromal ablations at varying depths, producing donor lenticules 150 to 200 microm thick with diameters of 7.

Femtosecond laser-assisted endothelial keratoplasty: a laboratory model.

Purpose: To evaluate the ability of a 40-kHz femtosecond laser in performing posterior stromal ablation for endothelial keratoplasty.

Methods: Human corneoscleral rims were mounted on an artificial anterior chamber. After corneal pachymetry, the femtosecond laser was used to create a donor lenticule by using a variety of diameter ablations, 150 microm from the Descemet membrane.

Keratoprosthesis surgery for end-stage corneal blindness in asian eyes.

Purpose: To establish a multidisciplinary surgical program for osteo-odonto-keratoprosthesis (OOKP) surgery in Asia and to evaluate efficacy and preliminary safety of this keratoprosthesis in end-stage corneal and ocular surface disease.

Design: Prospective noncomparative case series.

Participants: Sixteen adults of Asian ethnic origin, bilaterally blind with end-stage corneal blindness from Stevens-Johnson syndrome, or severe chemical or thermal burns.

Glide insertion technique for donor cornea lenticule during Descemet's stripping automated endothelial keratoplasty.

We describe a simple technique for inserting the donor corneal lenticule in Descemet's stripping automated endothelial keratoplasty. Unlike the standard insertion method, which requires folding the donor lenticule, this technique uses a modified intraocular lens (IOL) glide to guide the unfolded donor lenticule through the small incision with an intraocular forceps. This prevents significant endothelial trauma and surgical difficulties when the lenticule is unfolded.

Current treatment options for corneal ectasia.

Purpose Of Review: The approach to the management of various forms of corneal ectasia is changing, with the advent of new surgical and nonsurgical options. The purpose of this review is to summarize and evaluate relevant studies on new treatments for keratoconus, postrefractive surgery keratectasia, and peripheral ectatic corneal disorders.

Recent Findings: Various alternatives to corneal transplantation for the management of keratoconus aim to enhance corneal rigidity by means of nonsurgical collagen cross-linking, or with the use of intrastromal corneal ring segments, and studies suggest that these treatments may reduce astigmatism or ectatic progression to varying degrees.

[Effects of lens opacity on AccuMap multifocal objective perimetry in glaucoma].

Objective: To investigate the effect of lens opacity on the performance of the multi-focal visual evoked potential (mfVEP) test in patients with glaucoma and its relationship with the Humphrey's automated static perimetry.

Methods: This is a prospective, non-randomized study. Twenty-two patients were enrolled with moderate cataract and primary glaucoma scheduled for cataract surgery with or without glaucoma surgery.