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Post-Cataract Post-Transplant Corneal Surgery

Number: 0023

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American Society of Ocularists - When to Refer to an …

N2 - PURPOSE:: To describe the use of the Boston ocular surface prosthesis (BOSP) to successfully treat a persistent corneal epithelial defect (PCED) after herpes zoster ophthalmicus that was minimally responsive to conventional therapies. METHODS:: A case report. RESULTS:: A 44-year-old man who developed a PCED in the right eye after herpes zoster ophthalmicus was treated with conventional therapies, including topical difluprednate opthalmic emulsion, 0.05% cyclosporine ophthalmic emulsion, topical autologous plasma, and oral doxycycline. Silicone plugs were inserted in the right upper and lower puncta. An 18-mm therapeutic hydrogel contact lens was placed in the right eye. After 4 weeks of this treatment, double layer amniotic membrane transplantation and temporary lateral tarsoraphy were performed. Ten days after the procedure, the amniotic membrane had dissolved and the tarsorrhaphy was opened. Because only partial healing of the corneal epithelial defect was observed, the patient was fit with the BOSP that he wore all waking hours. A soft contact lens was worn overnight after the BOSP was removed. Rapid reepithelization was observed within the week after starting the BOSP. The epithelial defect completely healed after 3 weeks, and the uncorrected visual acuity in the right eye improved to 20/50. CONCLUSIONS:: The BOSP should be considered as an important treatment option for management of PCEDs in eyes with altered corneal sensitivity.

Enucleation and evisceration are procedures used to remove a diseased eye

AB - PURPOSE:: To describe the use of the Boston ocular surface prosthesis (BOSP) to successfully treat a persistent corneal epithelial defect (PCED) after herpes zoster ophthalmicus that was minimally responsive to conventional therapies. METHODS:: A case report. RESULTS:: A 44-year-old man who developed a PCED in the right eye after herpes zoster ophthalmicus was treated with conventional therapies, including topical difluprednate opthalmic emulsion, 0.05% cyclosporine ophthalmic emulsion, topical autologous plasma, and oral doxycycline. Silicone plugs were inserted in the right upper and lower puncta. An 18-mm therapeutic hydrogel contact lens was placed in the right eye. After 4 weeks of this treatment, double layer amniotic membrane transplantation and temporary lateral tarsoraphy were performed. Ten days after the procedure, the amniotic membrane had dissolved and the tarsorrhaphy was opened. Because only partial healing of the corneal epithelial defect was observed, the patient was fit with the BOSP that he wore all waking hours. A soft contact lens was worn overnight after the BOSP was removed. Rapid reepithelization was observed within the week after starting the BOSP. The epithelial defect completely healed after 3 weeks, and the uncorrected visual acuity in the right eye improved to 20/50. CONCLUSIONS:: The BOSP should be considered as an important treatment option for management of PCEDs in eyes with altered corneal sensitivity.

N.C. Industrial Commission Rating Guide (February 15, …

10/10/2016 · Anatomical outcome of vitreoretinal surgery using temporary keratoprosthesis and replacement of the trephined corneal button for …

Repair of severe ocular trauma often requires the surgeon to perform intravitreal surgery while attempting to look through a damaged and often opaque cornea. In the distant past, treatment options in this situation were limited to open-sky vitrectomy, corneal graft surgery under suboptimal conditions, or delaying treatment until the cornea was clear enough for sufficient visualization. Thirty years ago, Landers et al reported the successful use of a temporary keratoprosthesis (TKP) in the surgical repair of a traumatized eye.1 Since then, several improvements have been made in the design and use of TKPs (Figure 1).2-4

For the period of implantation of the bearing member, instead of the optical cylinder a temporary removable plug is screwed in the bushing, the height of the bushing and the plug not exceeding the thickness of the cornea, so that the bearing member of the prosthesis is implanted without requiring perforation of the corneal layers.

MSAC - Medical Services Advisory Committee

Eye color change and eye color surgery / eye color …

PURPOSE:: To describe the use of the Boston ocular surface prosthesis (BOSP) to successfully treat a persistent corneal epithelial defect (PCED) after herpes zoster ophthalmicus that was minimally responsive to conventional therapies. METHODS:: A case report. RESULTS:: A 44-year-old man who developed a PCED in the right eye after herpes zoster ophthalmicus was treated with conventional therapies, including topical difluprednate opthalmic emulsion, 0.05% cyclosporine ophthalmic emulsion, topical autologous plasma, and oral doxycycline. Silicone plugs were inserted in the right upper and lower puncta. An 18-mm therapeutic hydrogel contact lens was placed in the right eye. After 4 weeks of this treatment, double layer amniotic membrane transplantation and temporary lateral tarsoraphy were performed. Ten days after the procedure, the amniotic membrane had dissolved and the tarsorrhaphy was opened. Because only partial healing of the corneal epithelial defect was observed, the patient was fit with the BOSP that he wore all waking hours. A soft contact lens was worn overnight after the BOSP was removed. Rapid reepithelization was observed within the week after starting the BOSP. The epithelial defect completely healed after 3 weeks, and the uncorrected visual acuity in the right eye improved to 20/50. CONCLUSIONS:: The BOSP should be considered as an important treatment option for management of PCEDs in eyes with altered corneal sensitivity.

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