We describe a case of late-onset remarkable depigmentation of a small aperture corneal inlay implanted for presbyopia compensation. The patient was a participant in a clinical trial designed to evaluate the safety and efficacy of the AcuFocusTM ACU-10R160, which is a 10 µm-thick polyimide film tinted with an organic dye. Inlay implantation occurred under mechanical microkeratome Lasik flaps set...

We present a case of an iatrogenic double flap created during laser in situ keratomileusis using a femtosecond laser microkeratome that resulted in development of severe diffuse lamellar keratitis (DLK). The DLK occurred mainly in the second interface, made by the spatula accidentally and not exposed to femtosecond or excimer lasers. Because of differences in the severity of the interface infla...

PURPOSE To report the technique of combining the two different polarization filters to detect the flap edge of the corneoscleral tissue before trephining the Descemet's stripping automated endothelial keratoplasty (DSAEK) tissue. METHODS A human DSAEK donor tissue was prepared with mechanical microkeratome and the tissue on the cutting block was brought under the microscope. The liner, circul...

PURPOSE To perform the first Brazilian refractive surgery survey. METHODS Between August 2001 and February 2002, a questionnaire was mailed to 7890 Brazilian ophthalmologists. The questionnaire presented questions about demographic aspects, technology, instruments, market, trends, practice patterns and cost of refractive surgery. RESULTS Nine hundred and twenty questionnaires (11.67%) were ...

There is a long history of corneal refractive surgery. Leonardo Da Vinci in 1508 said the theory of refractive errors. The first systematic analysis of the nature and results of refractive errors came from Francis Cornelius Donders. His classic treatise, “On the anomalies of accommodation and refraction of the eye”, outlined the fundamental principles of physiological optics. Ironically, in thi...

purpose: to evaluate the correlation between corneal power and corneal horizontal white to white diameter in myopic patients scheduled for lasik surgery. methods: overall, in 840 eyes of 420 myopic subjects scheduled for lasik, horizontal white to white diameter and mean corneal power were obtained using orbscan ii. pearson correlation test and regression analysis were used to detect any correl...