Femtosecond dovetail penetrating keratoplasty: surgical technique and case report

2009 ◽  
Vol 93 (7) ◽  
pp. 861-863 ◽  
Author(s):  
J Lee ◽  
J Winokur ◽  
J Hallak ◽  
D T Azar
2013 ◽  
Vol 82 (3) ◽  
pp. 303-307
Author(s):  
Zita Makra ◽  
Imre Biksi ◽  
Gábor Bodó

This case report describes the surgical technique and outcome of allograft transplantation to treat full thickness corneal abscesses in three horses. In all three cases penetrating keratoplasty was performed. Each affected eye had an abscess within the corneal stroma. An initial full thickness circular corneal incision was made around the lesion. After excision of the stromal abscess the created defect was replaced with a larger diameter full thickness donor graft and the initial corneal incision was repaired. All of the horses that underwent penetrating keratoplasty procedure healed with a scar at the graft site and remained visual. Penetrating keratoplasty is an effective technique for surgical removal of medically nonresponsive full thickness stromal abscess in horses and results in a visual and cosmetically acceptable globe. The advantages of this technique compared to medical therapy are that there is less scarring, shorter healing times and less damage of the globe because of the concurrent uveitis. To the authors’ knowledge, clinical experience with penetrating keratoplasty in horses has not been reported in Europe so far.


2021 ◽  
pp. 194338752199028
Author(s):  
José Henrique Santana Quinto ◽  
Andressa Bolognesi Bachesk ◽  
Lucas Costa Nogueira ◽  
Liogi Iwaki Filho

The prevalence of dentoalveolar injuries in children is approximately 25%, with falls from own height being one of the main etiologies. Diagnosis is based on the clinical evaluation associated with complementary imaging tests. The treatment of choice depends on the type of damage and structure affected. For alveolar process fractures, closed reduction and semi-rigid dental splinting for 4 to 6 weeks is generally satisfactory. However, some cases, such as severe segmental fractures, require open treatment to ensure adequate reduction and stabilization of the displaced alveolar segment, which is usually achieved by titanium miniplates and screws. Nevertheless, there are situations where this type of fixation is not possible, requiring alternative methods. Therefore, this article describes a surgical technique performed by open reduction, associating semi-rigid dental splint and circummandibular wiring in pediatric patient diagnosed with dentoalveolar fracture through clinical examination (with bone fracture displacement) and tomography. The technique promoted a good prognostic to the patient, proving to be a viable alternative for treating dentoalveolar fractures.


2013 ◽  
Vol 23 (1) ◽  
pp. 146-151 ◽  
Author(s):  
Matthias J. Feucht ◽  
Philipp Minzlaff ◽  
Tim Saier ◽  
Andreas Lenich ◽  
Andreas B. Imhoff ◽  
...  

2017 ◽  
Vol 10 (5) ◽  
pp. 465-469 ◽  
Author(s):  
Rishin Kadakia ◽  
Jeff Konopka ◽  
Tristan Rodik ◽  
Samra Ahmed ◽  
Sameh A Labib

The talus is the second most common fractured tarsal bone. While their incidence may be low, talus fractures are severe injuries that can lead to long-term disability and pain. Displaced talar body fractures are typically treated through an open approach with the aim of obtaining anatomic reduction and stable fixation. There are several case reports in the literature demonstrating successful management of talus fractures arthroscopically. An arthroscopic approach minimizes soft tissue trauma, which can help decrease postoperative wound complications and infections. In this article, the authors describe a surgical technique of an arthroscopic reduction and internal fixation of a comminuted posterior talar body fracture. Compared with an open posterior approach with or without osteotomies, an arthroscopic technique improved visualization and allowed precise reduction and fixation. Levels of Evidence: Level V: Case report


Author(s):  
Ramakrishnan Narayanaswamy

<p class="abstract"><span lang="EN-US">Lingual Thyroid is a rare developmental anomaly. It is the most common benign mass found at the junction of the anterior two third and the posterior one third of the tongue. It requires to be excised if it becomes symptomatic by becoming a goiter. It is usually treated medically by thyroxin suppression therapy. However, in cases where the response to medical treatment is poor, it can be excised or transposed. We present a case report of a 28-year-old female with Lingual thyroid who underwent a novel surgical cervical transposition procedure with good result.</span></p>


2016 ◽  
Vol 73 (10) ◽  
pp. 973-975
Author(s):  
Vesna Jovanovic ◽  
Ljubisa Nikolic

Introduction. Urrets-Zavalia syndrome is an uncommon complication of the deep anterior lamellar keratoplasty in keratoconus. The manifestations of this syndrome are an irreversible mydriasis, iris atrophy and secondary glaucoma. Case report. Deep anterior lamellar keratoplasty was done for keratoconus with a presumably healed corneal hydrops in a 21-year-old Caucasian man. The graft remained clear, but the surgery was complicated by a fixed, dilated pupil, patches of iris atrophy, ectropium of the iris pigment layer and glaukomflecken in the lens. Conclusion. Although safer than penetrating keratoplasty, the deep anterior lamellar by not trying to secure an unhealed Descemet?s membrane with air. Instead, a new Descemet?s membrane transplanted within a penetrating graft is a safer choice.


Author(s):  
David Smadja ◽  
David Touboul ◽  
Valentine Saunier

ABSTRACT Purpose To describe and report long-term outcomes of a surgical technique in advanced pellucid marginal degeneration (PMD) combining conventional central penetrating keratoplasty (PK) with an additional crescentic inferior keratoplasty, using a single corneal transplant. Results We report the case of a 55-year-old male patient, who underwent a customized sizing PK in his right eye for an advanced PMD, which combined a central PK with an additional crescentic inferior keratoplasty. The 1 year postoperative results show very good clinical outcomes, including visual acuity and biomechanical parameters, as well as tectonic outcomes, documented with high resolution optical coherence tomography (OCT) at the junction site between the two grafts. Conclusion Advanced PMD is a specifically challenging condition for keratoplasty due to an extreme peripheral corneal thinning. This surgical technique may facilitate inferior suturing and optimize the postoperative tectonic outcomes. How to cite this article Saunier V, Smadja D, Touboul D. Simultaneous Penetrating Keratoplasty with Crescentic Inferior Keratoplasty in Advanced Pellucid Marginal Degeneration. Int J Kerat Ect Cor Dis 2015;4(2):60-62.


2014 ◽  
Vol 5 (3) ◽  
pp. 116-119
Author(s):  
Abhishek Chandra ◽  
Munesh Kumar Gupta ◽  
Ragini Tilak

We report a case report of Candida albicans suture infiltrate on 3rd post-op day in a 53 year female operated for penetrating keratoplasty. Candida albicans was identified by KOH mount, Gram Staining, germ tube, growth at 450C, chlamydospore formation and light green color on CHROMagar with sugar assimilation and culture characteristics. Despite being susceptible to Fluconazole by broth microdilution, patient did not respond to 0.3% fluconazole eye drops. On antifungal susceptibility testing by CLSI44A, it was susceptible to only Amphotericin B (100units). Patient was then started on 0.15% fortified amphotericin B eye drops resulting in complete resolution of infiltrates. Asian Journal of Medical Science, Volume-5(3) 2014: 116-119 http://dx.doi.org/10.3126/ajms.v5i3.8669 


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