Management of Extreme Ametropia after Penetrating Keratoplasty: A Series of Surgical Procedures for High Myopia and Astigmatism

Autor: Alejandro Tamez-Peña, Juan F. Lozano-Ramírez, Jorge E. Valdez-García, Juan J Cueto-Gómez
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Case Reports in Ophthalmology
Case Reports in Ophthalmology, Vol 5, Iss 2, Pp 255-261 (2014)
ISSN: 1663-2699
Popis: A series of surgical interventions - relaxing corneal incisions, intraocular lens, and intrastromal rings - were used to correct a case of extreme ametropia in a thin cornea after a penetrating keratoplasty in an 18-year-old patient who presented with a -10.25 -8.50 × 120 preoperative refraction and 20/200 best-corrected visual acuity (BCVA). After a series of surgical procedures, the patient's BCVA in his left eye improved to 20/30 with +0.50 -1.00 × 170, the slit lamp examination showed no significant findings, and the patient's visual complaints disappeared. At the 1-year follow-up, the BCVA was 20/25, without visual complaints. The process of individualizing the surgical procedure in the present case was employed in an outcome-based approach, that is, the next surgical procedure was defined after the surgery and postoperative evaluation. The patient did not present complications during the follow-up period of 2.5 years.
Databáze: OpenAIRE