Eales’ disease

This is a case report of a patient diagnosed with Eales’ disease. Characteristics, etiology and symptoms will be describedin this study. Moreover, we will present case of a 61-year-old woman and discuss the clinical features, treatmentplan and its outcome in our patient

Therapeutic penetrating keratoplasty for the treatment of microbial keratitis due to Staphylococcus MRSA

This is a case report of one patient who was diagnosed with microbial keratitis caused by staphylococcus MRSA.Its characteristics, etiology and symptoms will be described below. Moreover, we will discuss the clinical features,treatment plan and treatment outcome on our patient

Living-related limbal allograft transplantation for bilateral stem cell deficiency in a patient with bilateral chemical burn

INTRODUCTION. The purpose of this paper was to report the long-term outcome of a living-related limbal allograft transplantation followed by penetrating keratoplasty in a patient with severe bilateral stem cell deficiency. MATERIALS AND METHODS. A 50-year-old woman presented with extensive bilateral stem cell deficiency secondary to ocular acid burn on both eyes. Visual acuity was counting fingers at 30 cm on the right eye and counting fingers at 1 m Snellen line on the left. Limbal allograft transplantation on the right eye from a first-degree living-related relative was performed. The recipient was prepared by removing the abnormal corneal epithelium and vascularised pannus of the right eye under general anaesthesia. Two limbal allografts (mean length of 2–3 corresponding anatomic posi­tions on the recipient). Postoperatively, the host received systemic immunosuppression (steroids and cyclosporine). RESULTS. The cornea of the right eye achieved reepithelialisation within two weeks after surgery, followed by re­duction in vascularity in eight weeks time. After one year of regular follow up, the corneal surface remained stable whereas the stroma was opaque and the vision was low. Therefore, the patient underwent penetrating keratoplasty on the same eye. After the surgery the corneal graft was clear and the visual acuity on the right eye improved to 20/50 Snellen line. No graft rejection occurred after a five-year follow-up. CONCLUSION. Living-related limbal allograft transplantation is a good alternative option in cases of total bilateral stem cell deficiency whenever a conjunctival limbal autograft transplantation is not possible

Topography changes and endothelial cell loss after temporal 1.8 mm coaxial microincision cataract surgery (MICS)

INTRODUCTION. The purpose of this paper was to determine surgically-induced changes both in corneal topographic parameters and in endothelial cell loss after coaxial microincision cataract surgery (MICS) through temporal 1.8 mm incision. MATERIALS AND METHODS. Evaluation was performed in forty eyes of thirty patients who underwent cataract sur­gery. Topographic parameters including corneal astigmatism, surface regularity index (SRI), and surface asymmetry index (SAI) were estimated preoperatively and at one week, four weeks, and eight weeks after surgery. A specular microscope was also used for the measurement of the corneal endothelial density (cells/mm2). The surgically-induced astigmatism (SIA) was calculated by means of vector analysis using Alpins’ method. RESULTS. Eight weeks after surgery the final mean value of SIA was 0.42 D and the differences in topographic parameters such as corneal astigmatism, SRI, and SAI were not statistically significant. Also, the decrease in endothelial cell density eight weeks after surgery was 6.02%. CONCLUSIONS. The changes in SIA and topographic parameters after temporal coaxial 1.8 mm MICS are minimal throughout an eight-week follow up period

Diagnosis and management of a patient with idiopathic macular telangiectasia type 2

This is a case report discussing the case of a patient with idiopathic macular telangiectasia type 2. The diagnosis and the management of the patient are analysed as well as the possible factors that attribute to the appearance of idiopathic macular telangiectasia

Cataract surgery and Fuchs’ dystrophy

In this article, Fuchs’ endothelial dystrophy is discussed. The symptoms and early treatment are analysed, as well as the hereditary nature of the disease. Surgical approach is thoroughly analysed and the advantages and disadvantages of a potential combined procedure (partial keratoplasty and cataract surgery) are discussed

Correction of astigmatism with toric intraocular lenses

The purpose of this article is to explain how astigmatism can be eliminated during cataract surgery by using toric intraocular lenses (IOLs). The toric IOL calculation is analysed as well as the various types of toric IOLs. The toric IOL implantation technique is also explained and thoroughly analysed. Moreover, the possibility of residual astigmatism after the surgery is discussed as well as the reasons for this and how to deal with it

Fundus autofluorescence and multicolour imaging comparison in assessing disease severity in patients suffering from geographic atrophy. A case series analysis

INTRODUCTION. The aim of the study is to determine which depicting modality, fundus autofluorescence or multicolour imaging, is a better diagnostic tool in the monitoring of the progression of geographic atrophy in patients with severe dry macular degeneration. MATERIAL AND METHODS. Fifty patients (93 eyes) participated in this study. OCT examination (Spectralis HRA + OCT, Heidelberg Engineering, Germany) was performed in order to confirm that they fit the criteria to proceed in the study. In all patients, fundus autofluorescence and multicolour imaging was performed. RESULTS. The area of geographic atrophy was depicted with both modalities and useful information was obtained. In some cases, multicolour imaging provided more useful clues and in other cases the fundus autofluorescence provided useful information for the progression of the disease. CONCLUSIONS. Both modalities provide a wide range of useful information about the progression of geographic atrophy in patients with severe dry age-related macular degeneration and should both be performed in order to gather all the useful information about the disease progression

Fungal keratitis after descemet stripping automated endothelial keratoplasty

This is a case report discussing the case of a patient with fungal infection after undergoing a descemet stripping automated endothelial keratoplasty (DSAEK). The pathogenesis and possible treatment options of fungal keratitis are discussed. Also, the precautions that should be taken in order to prevent fungal keratitis in patients undergoing DSAEK are referred to.

Neurotrophic keratopathy — case reports analysis and management

This is a case series of patients suffering from neurotrophic keratopathy. The main categorisation of the disease is discussed as well as the management that should be followed on each stage. Several cases of patients with neurotrophic keratopathy are analysed and the treatment (different on every patient) of them is presented. Newer substances that are beginning to be used in the treatment of neurotrophic keratopathy are discussed as well