The Experts below are selected from a list of 57 Experts worldwide ranked by ideXlab platform
David J Harris - One of the best experts on this subject based on the ideXlab platform.
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bilateral microkeratome assisted anterior lamellar contralateral Corneal Autograft a case report
Cornea, 2013Co-Authors: Jordan S Masters, David J HarrisAbstract:PURPOSE: To present a case in which bilateral microkeratome-assisted contralateral anterior lamellar Corneal Autografting was used in the treatment of a patient with a stromal scar in one eye and dense amblyopia in the fellow eye. METHODS: Case report based on chart review. RESULTS: Anterior lamellar flaps were created in both eyes with a microkeratome. Six weeks later, central trephination through both flaps was performed, and the resulting Corneal discs were switched. Visual acuity improved to 20/30 in the nonamblyopic eye 1 year after the surgery. CONCLUSIONS: Microkeratome-assisted contralateral lamellar autokeratoplasty can be useful in the treatment of an anterior stromal scar when the fellow eye has a clear cornea and poor vision limited by untreatable nonCorneal pathology.
Sneha Thapliyal - One of the best experts on this subject based on the ideXlab platform.
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a peculiar case of Corneal Autograft in a patient with bilateral advanced glaucoma
Asian Journal of Ophthalmology, 2019Co-Authors: Vipul Bhandari, Sri Ganesh, Sneha ThapliyalAbstract:The technique of Autograft employs the use of a clear Corneal graft from an otherwise blind eye that is transplanted to the fellow eye, which has a visual potential in the same patient. A patient with advanced glaucoma in both eyes presented to us with pseudophakic bullous keratopathy with Ahmed glaucoma valve in the right eye, and cataract and patent peripheral iridotomy with no perception of light in the left eye. The Autograft and allograft corneas for bilateral penetrating keratoplasty (PK) were obtained from the contralateral eye and a cadaver eye, respectively. Central Corneal button was used for PK. One year after the surgery, the graft host junction was well apposed with no vascularization, Corneal surface was clear, sutures were intact, and best corrected visual acuity improved in right eye to 1 logMAR. Bilateral simultaneous PK with Autograft in one eye and allograft in the other was done to decrease the chances of rejection.
Alfred W Wechsler - One of the best experts on this subject based on the ideXlab platform.
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successful Corneal Autograft after clearance of anterior chamber cytomegalovirus with oral valganciclovir in a patient with multiple failed Corneal allografts
Cornea, 2011Co-Authors: Jed A Lusthaus, Alicia Steller, Zin Naing, Gillian M Scott, William D Rawlinson, Lyon P Robinson, Peter Mccluskey, Alfred W WechslerAbstract:PURPOSE: To report a case of recurrent Corneal graft failure because of cytomegalovirus (CMV) infection and to demonstrate successful clearance of the virus with oral valganciclovir, confirmed by polymerase chain reaction (PCR) assay. This allowed for a successful Corneal Autograft to be performed. METHODS: Interventional case report. RESULTS: A 90-year-old white man with 4 previous Corneal graft failures in his right eye is presented. His visual acuity was no light perception in the left eye subsequent to ocular trauma. His initial penetrating keratoplasty for pseudophakic bullous keratopathy was from a human leukocyte antigen-matched multiorgan donor who was CMV-seropositive. An anterior chamber paracentesis was performed to exclude an infective etiology. CMV was detected on PCR of aqueous humor. After a 12-week course of oral valganciclovir, a repeat aqueous PCR test confirmed the clearance of CMV. A Corneal Autograft from his left eye was subsequently performed with good outcome. CONCLUSIONS: We present a case of successful Corneal Autograft after clearance of CMV from the anterior chamber (PCR confirmed) in a patient treated with oral valganciclovir.
Jordan S Masters - One of the best experts on this subject based on the ideXlab platform.
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bilateral microkeratome assisted anterior lamellar contralateral Corneal Autograft a case report
Cornea, 2013Co-Authors: Jordan S Masters, David J HarrisAbstract:PURPOSE: To present a case in which bilateral microkeratome-assisted contralateral anterior lamellar Corneal Autografting was used in the treatment of a patient with a stromal scar in one eye and dense amblyopia in the fellow eye. METHODS: Case report based on chart review. RESULTS: Anterior lamellar flaps were created in both eyes with a microkeratome. Six weeks later, central trephination through both flaps was performed, and the resulting Corneal discs were switched. Visual acuity improved to 20/30 in the nonamblyopic eye 1 year after the surgery. CONCLUSIONS: Microkeratome-assisted contralateral lamellar autokeratoplasty can be useful in the treatment of an anterior stromal scar when the fellow eye has a clear cornea and poor vision limited by untreatable nonCorneal pathology.
Rudolph S Wagner - One of the best experts on this subject based on the ideXlab platform.
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Corneal Autograft and allograft in a 10 month old premature boy with acquired bilateral Corneal opacities
Cornea, 2011Co-Authors: Bradford Tannen, Marco A Zarbin, Neelakshi Bhagat, Rudolph S WagnerAbstract:PURPOSE: To report a case in which Corneal Autograft and allograft were performed in a 10.5-month-old, ex 24-week, premature boy with bilateral Corneal opacities from infectious keratitis. METHODS: Case report based upon chart review. RESULTS: At 3 years, the Corneal Autograft is clear without vascular ingrowth. After transplantation, the clarity of the Autograft improved markedly and unexpectedly from its pretransplantation appearance. The child fixes and follows and has central steady maintained fixation at near with a spectacle correction of +11.00 diopters. The allografted cornea is opaque with 360 degrees of vascular ingrowth. This eye is phthisical with no response to light. CONCLUSIONS: In circumstances in which a viable cornea is available from the patient's worse prognosis eye, a Corneal Autograft is a potential treatment option.