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Purpose: We report a rare and challenging case of bilateral necrotizing scleritis in primary Sjögren's syndrome (pSS).

Methods: Retrospective case report.

Results: A 72-year-old diabetic, hypertensive female patient presented with sudden onset of painful red left eye and was noted to have a corneal ulcer with severe thinning.

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BACKGROUND Micropulse transscleral cyclophotocoagulation is a non-invasive, widely employed procedure that uses diode laser to target the ciliary body to lower the intraocular pressure. Despite its acknowledged efficacy, certain complications are recognized, with neurotrophic keratopathy being a rare yet serious consequence. This report seeks to shed light on a potential high-risk subgroup susceptible to neurotrophic keratopathy, exemplified by our patient with Marfan syndrome, a condition characterized by thin sclera.

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The article is a case report of a very rare case of bilateral herpes simplex virus infection associated with bilateral necrotizing scleritis with scleral melt in an elderly north Indian female of lower middle socioeconomic status. A 65-year-old female presented to our clinic with a wide variety of presentations ranging initially from neurotropic corneal ulcer to necrotizing scleritis with scleral melt for 2 years. The patient records were evaluated and computed.

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Article Synopsis
  • This study discusses a new surgical technique for treating a superficial limbal dermoid using lamellar keratoplasty without stitches, incorporating an allogenic lenticule from a small incision method.
  • The technique involves careful removal of the dermoid and attaching a stromal lenticule directly to the implant bed, secured with a bandage contact lens instead of sutures or glue.
  • Postoperative results were positive, with improvement noted in corneal thickness, curvature, and patient satisfaction over three months, suggesting this method may be advantageous compared to traditional lamellar keratoplasty.
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Bowman Layer Onlay Grafting as a Minimally Invasive Treatment for the Most Challenging Cases in Keratoconus.

Am J Ophthalmol

May 2024

From the Netherlands Institute for Innovative Ocular Surgery (L.v.d.S., I.V., S.O., E.A.G., M.G., A.L., K.V., K.v.D., I.D., G.R.J.M., V.K.), Rotterdam; Melles Cornea Clinic (L.v.d.S., I.V., M.G., A.L., K.V., K.v.D., I.D., G.R.J.M., V.K.), Rotterdam; Amnitrans EyeBank Rotterdam (G.R.J.M., V.K.), Rotterdam, The Netherlands.

Purpose: To analyze the clinical outcomes after Bowman layer (BL) onlay grafting for the treatment of progressive, advanced keratoconus.

Design: Prospective, interventional case series.

Methods: Twenty-one eyes underwent BL onlay grafting.

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