The type 1 Boston Keratoprosthesis preparation requires a 3-mm central punch and an 8.5 mm or larger punch in the carrier tissue. These punches are ideally concentric, but we have found difficulty in achieving concentric punches when the larger punch is performed first. We present a modification in the preparation procedure to help minimize centration error.

In order to be successful in karate, it is necessary to apply the highest punch impulse at impact while maintaining dynamic body stability during the entire action. Here we test two different techniques to execute a specific karate punch and we compare expert and novice performances to explore the punch efficacy at different skill levels. Each participant, standing on a force platform, was aske...

purpose: to evaluate the effect of oral prednisolone on visual outcome and complications of scleral buckling (sb) in patients with rhegmatogenous retinal detachment (rrd). methods: in a randomized double-blind placebo-controlled trial, patients with acute rrd who underwent sb were randomly divided into two groups. oral prednisolone was administered for the treatment group and placebo for the co...

Scleral thickness, especially near the optic nerve head (ONH), is a potential factor of interest in the development of glaucomatous optic neuropathy. Large differences in the dimensions of the sclera, the principal load-bearing tissue of the eye, have been observed between individuals. This study aimed to characterize the effects of these differences on ONH biomechanics. Eleven enucleated human...

PURPOSE To evaluate the change of axial length (AL), intraocular pressure (IOP), and corneal astigmatism after scleral shortening with scleral invagination in the rabbit eye. METHODS The authors performed scleral shortening (3 mm) with scleral invagination in two groups of 6 eyes each: 180 degrees (group 1) and 360 degrees (group 2). RESULTS Average AL shortening was more prominent in group...

PURPOSE To evaluate the indications for modern scleral lenses and their clinical performance in patients who were fitted with scleral lenses at the authors' practices. METHODS In this cross-sectional survey, all the necessary data were obtained at the first follow-up visit during the 5-month study period. There were four types of scleral lenses: spherical, front-surface toric, back-surface to...

PURPOSE Previous studies have suggested that the lamina cribrosa (LC) and its surrounding sclera are biomechanically important in the pathogenesis of glaucoma, but many were limited by assumptions of tissue isotropy and homogeneity. Here, we used an improved biomechanical model driven by experimental measurements of scleral and LC collagen fiber organization to more accurately evaluate optic ne...