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 …