BACKGROUND We present a unique case of a cardiac transplant recipient who received an oversized heart. METHODS To allow the chest to accommodate the organ, extensive resection of the bony chest wall was performed. As both pectoralis major myocutaneous flaps and omental transposition were insufficient to cover the wound, a chest rotational flap was chosen. RESULTS The large size of the flap ...

A 33-year-old man developed Herpesvirus hominis type 2 (HVH-2) eye disease following a herpetic lesion of the penis. The sequence of ocular involvement suggested that the virus had been transmitted endogenously from the genital lesion: granulomatous iritis was followed by interstitial keratitis and then by dendritic keratitis. Recurrent bacterial ulcers ultimately required a conjunctival flap. ...

In recent years Scheie's operation (Scheie, I958) has been frequently performed because of its relatively simple technique. The results have been mainly satisfactory in bringing the intraocular pressure to normal in cases of glaucoma. Nevertheless filtration is not always well maintained, for various reasons: (i) Excessive scarring of the conjunctival flap causing closure of the limbal fistula....

PURPOSE To investigate the effect of hinge width on corneal sensation and dry-eye syndrome after laser in situ keratomileusis (LASIK). SETTING TLC Laser Eye Center, Garden City, New York, USA. METHODS Fifty-four patients at least 18 years of age had bilateral LASIK with a narrow nasal hinge microkeratome flap in 1 eye and a wider nasal hinge microkeratome flap in the other eye. In all eyes,...

AIM To characterise temporal changes in corneal wound repair at the LASIK flap margin. METHODS 18 rabbits received monocular LASIK and were evaluated during 6 months using slit lamp and in vivo confocal microscopy. In three corneas, the exposed stroma was stained with DTAF. At various time points, corneas were processed for histology and stained for nuclei, f-actin, ED-A fibronectin, alpha-sm...

CLINICAL CASE A 71-year-old woman presented with a leaking bleb after a combined phacotrabeculectomy performed 13 years ago. To construct a new filtering bleb, the necrotic area was fully excised. The amniotic membrane was inserted over the scleral flap underneath healthy conjunctiva edges. A conjunctiva-Tenon autograft from the contralateral eye was sutured and was sealed with fibrin adhesive....

Nocardia asteroides has been reported as the cause of keratitis in only 7 cases and of other ocular disease in another 12 cases. We report a case of N. asteroides keratitis that presented 3 weeks after rural trauma and progressed despite trials of appropriate antibiotics. Seven weeks after the origianl injury a successful conjunctival flap was placed over the cornea. The morphology and the sens...

This study was performed to analyze risk factors for and treatment results of ulcerative keratitis. The mean age (±SD) of 32 dogs with ulcerative keratitis was 3.59 (±2.97) years and the most commonly affected breed was the Shih-tzu (50%). Keratoconjunctivitis sicca (31%) was the predominant cause of ulcerative keratitis. Superficial corneal ulcers (in 44% of animals) treated with medication al...

OBJECTIVE Penile torsion is a counterclockwise rotational anomaly of the penile shaft or glans. We aimed to evaluate the outcomes of penile degloving and dorsal dartos flap rotation used for the repair of isolated penil torsion. MATERIAL AND METHODS During evaluation of the patients admitted to our polyclinic for circumcision between January 2013-December 2014, 5 cases of isolated penile tors...