Bullous Keratopathy Following Lens Extraction in Eyes with Acute Glaucoma Due to Intumescent Cataract

1976 ◽  
Vol 173 (1) ◽  
pp. 23-27 ◽  
Author(s):  
S.W. Hyams ◽  
M. Bialik ◽  
C. Keroub
Keyword(s):  
Bullous Keratopathy ◽  
Lens Extraction ◽  
Acute Glaucoma

scholarly journals Wheel Spokes Technique for Endothelial Keratoplasty for Extremely Mydriatic Bullous Keratopathy Eyes without Capsular Support

2018 ◽  
Vol 9 (1) ◽  
pp. 238-242 ◽  
Author(s):  
Hidenori Tanaka ◽  
Koji Hirano ◽  
Masayuki Horiguchi
Keyword(s):  
Cataract Surgery ◽  
Argon Laser ◽  
Vitreous Cavity ◽  
Bullous Keratopathy ◽  
Sphincter Muscle ◽  
Endothelial Keratoplasty ◽  
Laser Iridotomy ◽  
Acute Glaucoma ◽  
A New Technique ◽  
Capsular Support

We describe a new technique to prevent an endothelial donor graft from dropping into the vitreous cavity during non-Descemet stripping automated endothelial keratoplasty (nDSAEK) for extremely mydriatic bullous keratopathy (BK) eyes without capsular support. The patient was a 79-year-old woman who underwent nDSAEK for an extremely mydriatic BK eye with an incomplete barrier between the anterior and posterior chambers. She had undergone argon laser iridotomy for acute glaucoma at the age of 59 years and cataract surgery 3 years later. The pupil was extremely mydriatic as a result of iris sphincter muscle damage associated with an acute glaucoma attack and cataract surgery. After cataract surgery, the dislocated intraocular lens (IOL) sometimes touched the corneal endothelium. Despite simultaneous surgery to remove the dislocated IOL and lens capsule, vitrectomy, and intrascleral IOL fixation, her corneal endothelial decompensation progressed to BK. During nDSAEK, three 9-0 Prolene suture threads were placed through the recipient’s cornea, limbus-to-limbus, resembling wheel spokes, to prevent the graft from dropping into the vitreous cavity. With the aid of these pre-placed sutures, the graft was inserted safely and was well attached to the host’s posterior cornea by air tamponade without suturing. The wheel spokes technique prevented the endothelial graft from dropping during intraoperative manipulation, suggesting that nDSAEK is possible even in an extremely mydriatic aphakic BK eye without capsule support.

Modern approaches to surgical treatment of bullous keratopathy

2019 ◽  
pp. 78-81
Author(s):  
S.V. Trufanov ◽  
◽  
A.V. Zaitsev ◽  
E.P. Salovarova ◽  
K.N. Semchenko ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Bullous Keratopathy

Experimental model of bullous keratopathy

2020 ◽  
pp. 254-255
Author(s):  
M.S. Denisko ◽  
◽  
O.I. Krivosheina ◽  
T.M. Sergeeva ◽  
E.O. Filippova ◽  
...  
Keyword(s):  
Experimental Model ◽  
Bullous Keratopathy

scholarly journals Chronic Endophthalmitis Caused by Pseudomonas stutzeri

2020 ◽  
Vol 11 (3) ◽  
pp. 595-599
Author(s):  
Saeed T. Alshahrani ◽  
J. Fernando Arevalo
Keyword(s):  
Pseudomonas Stutzeri ◽  
Posterior Chamber ◽  
Topical Steroids ◽  
Sensitivity Testing ◽  
Corneal Incision ◽  
Presumptive Diagnosis ◽  
Lens Extraction ◽  
History Of ◽  
Sudden Decrease ◽  
The Right

A patient presented with complaints of a sudden decrease in vision, ocular redness, and pain in the right eye. The patient had a history of clear lens extraction with intraocular lens (IOL) implantation for myopia 2 years previously. He had been prescribed topical steroids for episodes of inflammation that occurred repeatedly every 1–2 months. With a presumptive diagnosis of chronic endophthalmitis, a 23-G transconjunctival sutureless pars plana vitrectomy (PPV) with delivery of intravitreal antibiotics was performed the next day. Culture sensitivity testing of the vitreous sample indicated <i>Pseudomonas stutzeri</i> that was sensitive to ceftazidime and gentamicin. Two weeks later, the patient presented with sudden loss of vision and all the signs of recurrent endophthalmitis. 23-G transconjunctival sutureless PPV was performed along with removal of the posterior chamber IOL through a corneal incision. Complete resolution was only achieved after removal of the IOL, resulting in excellent visual recovery. Due to its chronic and fulminating nature, <i>P. stutzeri</i> can induce endophthalmitis and should be considered in the differential diagnosis. Aseptic measures are the best prevention.

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