ABSTRACT
A case describes repeat lamellar keratoplasty (LKP) as a treatment for positive rim of Candida glabrata LKP. As have postulated in the literature, having positive rim is a substantial risk factor for a developing fungal keratitis. Different management approaches of fungal keratitis over a corneal graft have used. Herein, we provide a description of the clinical findings, management approach and used surgical technique with review of the literature.
Subject(s)
Corneal Transplantation , Corneal Ulcer , Eye Infections, Fungal , Keratitis , Humans , Keratitis/drug therapy , Keratitis/microbiology , Keratitis/surgery , Corneal Transplantation/adverse effects , Eye Infections, Fungal/drug therapy , Keratoplasty, Penetrating/adverse effectsABSTRACT
A 55-year-old male presented with reduced vision due to senile cataract. The patient consented to undergo real-time intraoperative anterior segment-optical coherence tomography (AS-OCT) during phacoemulsification with intraocular lens (IOL) implantation. Images were captured at various points during the surgery. The use of AS-OCT incorporated into the surgical microscope was evaluated as an adjunct to cataract surgery. We were able to successfully evaluate, in real-time, wound architecture, the attachment of Descemet's membrane, the posterior capsule, and IOL position. Real-time AS-OCT can be used to proactively address potential complications and verify IOL placement intraoperatively.
