RESUMEN
The aim of this study was to report a series of corneal tattooing in three eyes of three patients with disfiguring corneal scar and no visual potential, which underwent the procedure using the lampblack prepared in the operating room (OR), and to describe the novel technique of lampblack preparation for the surgery. The depth of corneal opacity was carefully assessed and a superficial lamellar pocket was made by lamellar separation using corneal dissectors, following which the prepared lampblack soot using materials available in the OR was deposited in the pocket. At a mean follow-up of 6 months, all the eyes had a stable corneal surface with an acceptable cosmetic outcome. Corneal tattoo using lampblack gives a satisfactory cosmetic result with good patient satisfaction and improved quality of life in the eyes with disfiguring corneal scar.
Asunto(s)
Opacidad de la Córnea , Tatuaje , Córnea/cirugía , Opacidad de la Córnea/diagnóstico , Opacidad de la Córnea/cirugía , Humanos , Calidad de Vida , HollínRESUMEN
We report a rare case of dematiaceous fungus colonization in the therapeutic bandage contact lens (BCL), in an eye with peripheral ulcerative keratitis. Bandage contact lens removal and appropriate treatment resulted in improvement of the visual acuity and prevented the spread of fungus to the underlying ocular structures. Microbiological evaluation of the BCL showed dematiaceous fungal filaments, and the fungus was identified as Bipolaris species. In patients with pigmented plaque-like lesions, with BCL in situ, dematiaceous fungus on the undersurface of the BCL should be kept in mind. Patient education regarding the importance of frequent BCL replacement, proper ocular hygiene, and timely follow-up should be emphasized.
Asunto(s)
Ascomicetos/aislamiento & purificación , Betacoronavirus , Lentes de Contacto/microbiología , Úlcera de la Córnea/microbiología , Infecciones por Coronavirus/epidemiología , Infecciones Fúngicas del Ojo/microbiología , Micosis/microbiología , Neumonía Viral/epidemiología , Anciano , Antifúngicos/uso terapéutico , Vendajes , COVID-19 , Carboximetilcelulosa de Sodio/uso terapéutico , Úlcera de la Córnea/diagnóstico , Úlcera de la Córnea/tratamiento farmacológico , Infecciones Fúngicas del Ojo/diagnóstico , Infecciones Fúngicas del Ojo/tratamiento farmacológico , Humanos , Perdida de Seguimiento , Masculino , Micosis/diagnóstico , Micosis/tratamiento farmacológico , Natamicina/uso terapéutico , Pandemias , SARS-CoV-2 , Tomografía de Coherencia Óptica , Agudeza VisualRESUMEN
To report a case of interface fluid syndrome (IFS) after laser-assisted in situ keratomileusis (LASIK) in a patient with Anterior chamber intraocular lens (ACIOL) induced corneal decompensation treated with Descemet's stripping automated endothelial keratoplasty (DSAEK). At 6 months follow-up, the cornea became clear with improvement in visual acuity and resolution of interface fluid.
Asunto(s)
Enfermedades de la Córnea/cirugía , Queratoplastia Endotelial de la Lámina Limitante Posterior/métodos , Endotelio Corneal/patología , Queratomileusis por Láser In Situ/métodos , Agudeza Visual , Enfermedades de la Córnea/diagnóstico , Endotelio Corneal/cirugía , Supervivencia de Injerto , Humanos , Masculino , Persona de Mediana Edad , Refracción Ocular , Reoperación , Tomografía de Coherencia ÓpticaAsunto(s)
Queratoplastia Endotelial de la Lámina Limitante Posterior/métodos , Distrofia Endotelial de Fuchs/cirugía , Endotelio Corneal/patología , Endotelio Corneal/cirugía , Femenino , Distrofia Endotelial de Fuchs/diagnóstico , Humanos , Persona de Mediana Edad , Tomografía de Coherencia Óptica , Agudeza VisualRESUMEN
Acute corneal hydrops (CH) occurs when there is a tear in descemets membrane causing rolling of its edges, creating a gap through which aqueous from anterior chamber (AC) percolates into corneal stroma. Acute CH occurs in approximately 2.5-3% of eyes with KC. Conventional therapy is patching or bandage contact lens application with topical cycloplegics and topical hypertonic sodium chloride. Here, we report a case of 9-year-old boy with bilateral keratoconus with left eye acute hydrops who was successfully treated with pneumodesmetopexy with perflouropropane (C3F8).