The issue of keratoconus will never go away as long as patients keep rubbing their eyes. This is another presentation that is often missed, and I have seen it on occasion. Keratoconus in the older population (define old, if you can). I was taught (dogma) that keratoconus is a “young mans disease”…define young, define man, …
I don’t think we need to prove gravity exists, as it is obvious, and we deal with it every day. Gravity is an axiom. So is rubbing with keratoconus. However, some people doubt the connection, and fortunately, others have spent time collecting data to prove the obvious. The article says it all. DON’T RUB!!! I …
Scars develop everywhere on the body as a healing response. With the cornea, they develop in all layers, even internally, appearing as a retrocorneal membrane. On the surface, they are most prominent subepithelially…you know them as SALTZMANS nodules. Here is scarring subepithelial on an old full transplant….it isn’t so visible under direct illumination, but obvious …
The word corectopia refers to the observation of a pupil that is deviated from its normal position. This lady has corectopia, and is complaining bitterly about symptoms related to photophobia. She has had lens surgery, and dysphotopsias are not insignificant as a result. The cause is damage to the iris from SHINGLES, and note how …
This man presents with an unusual cornea and shifting prescription. He has Terrien’s Marginal Degeneration, and this is a classical presentation. Note the irregular white deposits at the periphery, separated from the limbus by a gutter. Cause unknown. The problem is a slow progressive shift in refraction. It’s too late once it has happened. All …
Herpetic disease transplant rejection – Any time you touch an eye, you can activate the HSV virus, and this includes cataract surgery. HSV destroys the anterior segment. I had undertaken a revision transplant in this 73-year-old man, and his vision improved to 6l9. He was delighted! Over the course of 2 days, the endothelium rejected, …
FAQ Question: What are the rejection rates for a stromal transplant vs pkp vs endothelial? We already know that graft survival rates are better in Keratoconus patients vs non Keratoconus patients. Answer: Fascinating question! After doing stromal transplants for 20 years, here are the key points… THE OCULAR SURFACE IS AN INFLAMMATORY POWERHOUSE. WE ALMOST …
This is a great case to show the many benefits that layered transplant brings for keratoconus patients. I performed stromal transplant for this patient in 2012 and in 2014, he had 0 dioptres astigmatism with 6l6 vision. Similar result in the other eye. After last seeing him 6 years previously, he represents with reduced vision …
Welcome to our comprehensive guide on Keratoconus, a vision disorder that affects the shape of the cornea, leading to visual impairment. Dr Anthony Maloof is committed to providing you with the most detailed and up-to-date information on this condition to help you understand it better. In this article, we will explore the causes, symptoms, and …
This is an interesting patient who was referred in for recurrent corneal erosion syndrome. Historically, he did have recurrent corneal erosion. EXCEPT he developed acute bacterial keratitis, and vision dropped to CF (counting fingers). This is what he looked like on presentation. When such patients come in, I am now able to give them an …