THE treatment of epibulbar growths depends on several factors of which the extent of involvement of the globe itself is the most important; to some extent the line of treatmentadopted depends not only on the preference ofaparticular surgeon but also on the facilities available. Lamellar keratoplasty has often been employed as a therapeutic measure and we have had some experience of it (Sivasubr...

BACKGROUND To perform lamellar keratolimbal allograft transplantation in a one-step procedure with a single graft, we investigated the feasibility of harvesting eccentric lamellar keratolimbal grafts from conventionally processed corneoscleral buttons using a manually guided microkeratome in conjunction with an artificial anterior chamber system. METHODS We used the Moria LSK-One microkeratom...

PURPOSE To develop a nomogram for femtosecond laser astigmatic keratotomy (AK) to treat post-keratoplasty astigmatism. SETTING Three academic medical centers. DESIGN Retrospective interventional case series. METHODS A review of post-keratoplasty femtosecond laser AK was performed. Uncorrected (UDVA) and corrected (CDVA) distance visual acuities, manifest refraction, and keratometry were r...

Background: Keratoglobus is a rare noninflammatory corneal disorder characterized by diffuse corneal thinning and globular protrusion of the cornea. Surgical management of keratoglobus is challenging and the standard method has not yet been defined. Aim: To present the role of large penetrating keratoplasty (PK) in the management of keratoglobus. Case Presentation: A 29-year-old male patient wi...

We describe herein a case of an impending corneal perforation with a large descemetocele in a patient with previous penetrating keratoplasty (PKP) that subsequently was treated with an emergent lamellar keratoplasty using frozen preserved cornea. A 76-year-old male patient, who had a PKP, presented with a completely whitish and edematous graft accompanied by large epithelial defects. Although a...

We report a case of pharmacologic regression of Urrets-Zavalia syndrome, following deep lamellar keratoplasty for severe keratoconus. Sympatholytic and parasympathomimetic drops were administered and a progressive reduction of mydriasis and restoring of pupillary kinetics were observed. Four years after surgery, it was resulting in only slight residual anisocoria.

THis new aid to corneal grafting has been designed to facilitate and simplify the operative procedure of lamellar keratoplasty. The instrument, a combination of blunt dissector and a cutting knife, has been used successfully as the basis of the new splitting technique in which an exact replica of the corneal disc removed from the recipient globe can be matched and replaced by a similar disc of ...

A 14-year-old boy affected by keratoconus underwent an anterior lamellar keratoplasty assisted by IntraLase femtosecond laser (Abbott Medical Optics, Abbott Park, IL). Results after 2 years of follow-up indicate the procedure may be safe and effective in pediatric patients.