PURPOSE To describe a case of traumatic wound dehiscence after deep anterior lamellar keratoplasty. METHOD Observational case report. CASE REPORT A 31-year-old man who had undergone deep anterior lamellar keratoplasty using big-bubble technique for keratoconus 3 months earlier presented to emergency room after blunt trauma.On examination, visual acuity was counting fingers at 2 m. The corne...

purpose: to investigate indications and methods of surgery in corneal transplantation in labbafinejad medical center from 2007 to 2009. methods: records of 1083 patients who had undergone corneal transplantation from 2007 to 2009 were reviewed. age, sex and indication and type of surgery were evaluated. results: patients included 709 (65.5%) male and 374 (34.5%) female subjects with mean age of...

Midstromal implant of an isolated Bowman layer graft is a new approach to reduce ectasia in eyes with advanced keratoconus. The procedure should postpone penetrating or deep anterior lamellar keratoplasty. Ten eyes of 9 patients with progressive, advanced keratoconus and contact lens intolerance underwent the procedure with no intraoperative adverse events. Throughout the study period, we obser...

In recent years, there has been a considerable interest regarding the concept of lamellar keratoplasty (LK), which contributed in spreading the use of this procedure in the treatment of keratoconus. This is a new frontier in corneal surgery that minimizes trauma on the recipient patient since it works on a "closed bulb". The LK surgery, in fact, aims to selectively replace diseased corneal stro...

PURPOSE To present a case of Maroteaux-Lamy syndrome (MLS), which underwent deep anterior lamellar keratoplasty (DALK) for visual rehabilitation. METHODS A 15-year-old girl with MLS was admitted with severe corneal opacity. We performed DALK on her left eye for visual rehabilitation. Big-bubble technique was used to perform lamellar separation. RESULTS Corneal graft was clear 24 months afte...

This paper reviews the data in the published literature (PubMed from 1937 to 2011) concerning the medical and surgical management of pediatric limbal dermoids. Current standard medical treatment for grade I pediatric limbal dermoids (ie, with superficial corneal involvment) is initially conservative. In stages II (ie, affecting the full thickness of the cornea with/without endothelial involveme...

ber, similar to fungi. Recently, microsporidia have been phylogenetically shown to be fungi, and their tissue behavior akin to that of fungi would be expected. Our patient had clinical features of herpetic viral endotheliitis at the initial visit, which improved initially with antiviral treatment. There is a possibility that the patient may have had viral keratitis initially and then became sec...

Purpose. To compare the effect of 60 kHz and 150 kHz femtosecond (FS) laser on the corneal stromal bed surfaces (SBS). Methods. Sixteen human donor corneal tissues unsuitable for transplantation were used. Anterior and posterior lamella was obtained using 60 kHz and 150 kHz FS laser. A standard depth of 400  μ m was set for anterior lamellar keratoplasty (ALK) and endothelial lamellar keratopla...