Overcorrected visual acuity improved by antiglaucoma medication after radial keratotomy

Case report of overcorrected visual acuity Improved by antiglaucoma edication after radial keratotom

Acute conjunctivitis: truth and misconceptions

Acute conjunctivitis is an extremely common condition and can be associated with significant morbidity and economic burden. Despite this, considerable controversy exists pertaining to the prevalence, diagnosis, management, and treatment of the condition. A panel of ophthalmology experts was assembled to review and discuss the current evidence based literature as it pertains to each of these persistent controversies.An acute conjunctivitis round table symposium was convened at the American Academy of Ophthalmology meeting in Atlanta, November 2008. The expert panelists consisted of four academic ophthalmologists in the field of cornea and external disease, whose discussion was informed by an English language literature survey carried out on the PubMed database for the period of January 1972 to October 2008. A narrative summary was generated from the literature review and direct transcription of this event, from which this Review article was developed.Considerable light has been shed on acute microbial conjunctivitis and especially those cases caused by adenovirus. Many of the myths that have perpetuated for years have been debunked by emerging evidence. The advent and the implementation of better diagnostic tools and anti-viral medications will help clinicians to improve their diagnostic accuracy, improve management and treatment decisions, and ultimately benefit patients while saving overall healthcare costs

Intraocular Lens Removal During Penetrating Keratoplasty for Pseudophakic Bullous Keratopathy

Pseudophakic bullous keratopathy is now the most common reason for penetrating keratoplasty. In previous reports, the type of intraocular lens (IOL) most frequently encountered in these eyes was the iris plane IOL. The authors reviewed 27 cases of IOL removal during penetrating keratoplasty. Lenses were removed if they were dislocated or associated with iritis, recurrent hyphema, glaucoma, or persistent cystoid macular edema. The IOL encountered most often was the anterior chamber lens (in 22 eyes); closed thin loop, semiflexible or flexible anterior chamber lenses accounted for 19 of these. Iris plane lenses were removed from five eyes. No posterior chamber lenses were removed. Clear grafts were obtained in 24 of 27 cases (89%); visual acuity improved or remained the same in 24 cases, to 20/60 in 11 cases. The most common causes of poor postoperative vision were retinal disease (6/27 cases) and glaucoma (6/27 cases). The association between anterior chamber lenses and pseudophakic bullous keratopathy is probably the result of both the increase in use of these lenses and the documented propensity of the closed loop semiflexible anterior chamber lenses to cause complications. © 1987, American Academy of Ophthalmology, Inc. All rights reserved

The Effect of Changes in intraocular Pressure on Corneal Curvature after Radial Keratotomy in the Rabbit Eye

Standard radial keratotomy was performed in both eyes of 18 rabbits. Intraocular pressure (IOP) was raised by injection of saline solution into the vitreous cavity at different times after surgery: 8 eyes at one, two, and six weeks and 12 eyes at four months. Keratometric readings at 10, 20, 40, 60, and 80 mmHg were recorded by three independent observers in a masked fasion. The same procedure was performed in eight eyes that had no surgery, as controls. Increments in IOP correlated with significant reductions in corneal power at all times after surgery and for all IOP values in the operated eyes. No changes were observed in the control eyes. The results indicate that variations in IOP, even within physiological limits, may cause changes in corneal curvature after radial keratotomy, and that patients with wide fluctuations in IOP could present a higher risk for postoperative fluctuation in visual acuity after this refractive procedure. © 1986, American Academy of Ophthalmology, Inc. All rights reserved

Precarved lyophilized tissue for lamellar keratoplasty in recurrent pterygium

Thirteen eyes with recurrent pterygia were treated with excision and lamellar keratoplasty using precarved, lyophilized donor cornea. After an average follow-up of 23 months, only one eye (7.7%) required repeat excision. Two eyes (15.4%) had minor recurrences that were asymptomatic and did not progress. Minimal vascularization at the interface between donor and recipient cornea was frequent, but this completely regressed after suture removal and topical corticosteroid treatment. Limitation of movement, when present preoperatively, was improved or eliminated. Best corrected visual acuity was unchanged in eight eyes (61.5%), decreased by one line in two eyes (15.4%), and improved by one or two lines in three eyes (23.1%). Postoperative astigmatism was within 0.5 diopter of the preoperative value in 11 eyes (84.60; one eye (7.7%) had a postoperative increase of 1 diopter and another eye (7.7%) of 2 diopters. © 1986