OPHTHALMOLOGY

Endothelial Keratoplasty

Mar 20, 2017 by in OPHTHALMOLOGY Comments Off on Endothelial Keratoplasty

Indications Contraindications Consideration Fuchs’ dystrophy Significant irreversible central corneal scarring Large iris defects Bullous keratopathy (aphakic or pseudophakic) Keratoconus Aniridia Posterior polymorphous dystrophy Hypotony Glaucoma tubes Iridocorneal endothelial (ICE) syndrome …

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Economic Evaluation of Keratoplasty

Mar 20, 2017 by in OPHTHALMOLOGY Comments Off on Economic Evaluation of Keratoplasty

  Cost consequences analysis Cost-minimization analysis Cost-effectiveness analysis Cost-utility analysis Cost-benefits analysis Cost $ $ $ $ $ Outcomes Many outcomes can be considered Many outcomes can be considered All…

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Post-operative Management

Mar 20, 2017 by in OPHTHALMOLOGY Comments Off on Post-operative Management

Fig. 8.1 Corneal vascularisation with graft failure secondary to graft rejection. Vascularisation of the recipient corneal bed is the most significant single risk factor for graft failure on multivariate analysis…

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Decision-Making in Keratoplasty

Mar 20, 2017 by in OPHTHALMOLOGY Comments Off on Decision-Making in Keratoplasty

Vascularization of the recipient stroma Anterior synechiae Previous graft failure due to immunological rejection Previous or ongoing anterior segment inflammation Uncontrolled glaucoma or glaucoma surgery Herpes simplex keratitis Ocular surface…

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Technology: Femtosecond Laser in Keratoplasty

Mar 20, 2017 by in OPHTHALMOLOGY Comments Off on Technology: Femtosecond Laser in Keratoplasty

Platform Company Docking system Repetition rate Approximate energy pulse IntraLase iFS Abbott Medical Optics, USA Flat applanation 60–150 kHz 1000 nj LDV Z6 Ziemer, Switzerland Flat applanation 5 MHz <…

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Post-keratoplasty Astigmatism

Mar 20, 2017 by in OPHTHALMOLOGY Comments Off on Post-keratoplasty Astigmatism

  Manufacturer Material Power range (D) IOL Artisan® Ophtec, the Netherlands PMMA Sph. −23.0 to (+7.5) Cyl. ±1 to (±7.5) ICL™ Staar Surgical, USA Collamer Sph. −3.0 to (−23.0) Cyl….

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Anterior Lamellar Surgery

Mar 20, 2017 by in OPHTHALMOLOGY Comments Off on Anterior Lamellar Surgery

Fig. 5.1 Classification of anterior lamellar keratoplasty Superficial Anterior Lamellar Keratoplasty Automated Lamellar Therapeutic Keratoplasty (ALTK) Purpose and Indication The purpose of the automated lamellar therapeutic keratoplasty (ALTK) is visual…

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Developments in Corneal Banking

Mar 20, 2017 by in OPHTHALMOLOGY Comments Off on Developments in Corneal Banking

Fig. 3.1 Human corneal endothelium. (a) Regular pattern of the corneal endothelium without any trypan blue-positive cells and (b) completely damaged corneal endothelium with large area of trypan blue-positive cells…

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