A case of infectious crystalline keratopathy that affects mainly the posterior stroma is presented. Crystalline infiltrates presented after multiple epithelial defects and chronic topical steroid use following a penetrating keratoplasty in this patient. His epithelial defects persisted and given the deep location of the crystalline infiltrates, a penetrating keratoplasty was performed again. Sl...

CASE REPORT A 75-year-old man with bilateral idiopathic lipid keratopathy underwent a penetrating keratoplasty in the left eye. One month later, there was deep corneal neovascularisation extending across the bed and the graft-host interface, with a whitish opacity surrounding the vessels. Topical bevacizumab (25mg/mL) was administered 4 times daily for 2 months with partial regression of cornea...

Endothelial keratoplasty is now favored over full-thickness penetrating keratoplasty for corneal decompensation secondary to endothelial dysfunction. Although endothelial keratoplasty has evolved as surgeons strive to improve outcomes, fewer patients than expected achieve best corrected visual acuity of 20/20 despite healthy grafts and no ocular comorbidities. Reasons for this remain unclear, w...

AIM To evaluate the three techniques of single continuous suturing-namely, torque, antitorque, and no torque in penetrating keratoplasty. METHODS 53 eyes of 53 patients underwent penetrating keratoplasty using torque (17 patients), antitorque (18 patients), and no torque (18 patients) suturing techniques in this prospective study. Patients were followed up at 4 weeks, 3 months, and 6 months. ...

The occurrence of pseudoexfoliation (PSX) following penetrating keratoplasty for keratoconus is reported in three eyes of two patients. The patients' ages at keratoplasty were 37, 40, and 31 years, and PSX was first observed 5, 4, and 6 years following keratoplasty. The donor age was 76, 81, and 81 years. Possible explanations for the occurrence of PSX after keratoplasty include mere coincidenc...

PURPOSE The purpose of this study is to report a case of microsporidial endophthalmitis after penetrating keratoplasty in a healthy patient and discuss the management. METHODS This is a case report. RESULTS A 69-year-old healthy male underwent penetrating keratoplasty for corneal scar secondary to herpes stromal keratitis. He presented with features of acute graft rejection 3 years later. A...

BACKGROUND Candida glabrata endophthalmitis following keratoplasty is rare and almost always associated with positive donor rim culture. CASE PRESENTATION A 63-year-old patient, diagnosed Fuch's endothelial dystrophy in both eyes underwent a penetrating keratoplasty in his right eye. He had multiple underlying medical problems, which included diabetes mellitus, hypertension, hypoadrenalism on...

PURPOSE To improve the visual acuity of patients with progressive keratectasia following laser in situ keratomileusis (LASIK). METHODS Five eyes of four patients underwent penetrating keratoplasty for ectasia after LASIK: In one patient the second eye was operated on 10 months after the first keratoplasty. The pre- and postoperative refraction, best spectacle-corrected visual acuity, and topo...

purpose: to compare corneal hysteresis and resistance factor after penetrating keratoplasty (pk) and deep anterior lamellar keratoplasty (dalk) using anwar’s big-bubble technique using the ocular response analyzer. methods: forty-five pk eyes and 23 dalk eyes with keratoconus were compared in terms of corneal hysteresis (ch), corneal resistance factor (crf), goldmann-correlated intraocular pres...

deep anterior lamellar keratoplasty (dalk) has recently been introduced as an alternative procedure to penetrating keratoplasty (pk) for corneal pathologies not affecting the corneal endothelium. dalk does not rely on donor endothelium and requires less rigid criteria for donor corneal tissue quality. therefore, dalk makes it possible to use donor corneas deemed unsuitable for pk. furthermore, ...