purpose: to determine the dissection level during deep lamellar keratoplasty (dalk) using the big-bubble technique by light microscopy (lm) and transmission electron microscopy (tem). methods: descemet’s membrane (dm) and stromal tissue of 4 keratoconic eyes were removed because of inadvertent intraoperative dm perforation during dalk which was converted to penetrating keratoplasty. these speci...

postsurgical sustenance of very ill patients with a functioning small bowel. Postpyloric feeding through a jejunal tube is in wide practice and usually well tolerated. We report a case of smallbowel perforation related to a feeding jejunostomy tube. A 76-year-old female was evaluated for symptoms of pruritis, painless jaundice, tea-coloured urine and yellow stools. An ampulary carcinoma was fou...

Introduction: Corneal trauma can be defined as any impact on the cornea following direct or indirect by a traumatic agent. Due to its anatomical position, is superficial membrane most exposed ocular trauma. It frequent pathology in ophthalmology, especially young active subjects. an important cause of poor vision loss eyeball with significant socio-economic impact. Material and Method: We condu...

A 32-year-old man suffering from keratoconus was treated with radial keratotomy. Twenty weeks later, he presented visual deterioration, edema and corneal perforation. A penetrating keratoplasty was required. The postoperative course was regular, but after 9 months, the patient presented kerato-uveitis. Subsequent phlogistic relapses occurred approximately every 6 months during the following 5 y...

BACKGROUND Dolosigranulum pigrum is a commensal inhabitant of the upper respiratory tract suspected to be responsible for ocular infections but no well-described case of D. pigrum corneal infection has been reported. Herein culture and PCR-sequencing-based investigations of corneal scraping specimens confirmed D. pigrum keratitis in three patients. CASE PRESENTATION Three elderly patients pre...

PURPOSE To report a case of severe conjunctival-corneal melt in association with carotid artery stenosis. METHODS Observational case report. RESULTS A 76-year-old man with a history of bilateral severe carotid artery occlusion and nonarteritic ischemic optic neuropathy developed a spontaneous bulbar conjunctival defect. Despite intensive lubrication, and attempts at surgical closure includi...