Staged Cataract Post Scar Removal: A Case Report.

A 62-year-old white Caucasian male was referred with Keratoconus and posterior subcapsular cataract (PSC) and a history of 12 previous procedures including implantable contact lens surgery (ICL), Intacs corneal implant, Cross Linking, Phototherapeutic Keratectomy (PTK) and Photorefractive Keratectomy (PRK). All the procedures were surgically well done by his surgeon but resulted in 20/200 vision and an irregular, scarred cornea. After undergoing Laser Corneoplastique and a staged Cataract surgery, he was brought to unaided 20/20 vision in this eye.

Cosmetic Pterygium Surgery: Techniques and Long-Term Outcomes.

BACKGROUND: To demonstrate the long-term results of enhanced cosmetic pterygium surgery with extensive Tenonectomy, adjunctive fibrin-glued amniotic membrane transplantation (AMT), and mitomycin C (MMC). METHODS: Retrospective chart review of patients who had pterygium surgery with AMT and MMC between January 2001 to July 2017 and had completed at least 6 months of follow-up. Early and long-term postoperative cosmetic outcomes, recurrence rate, and complications were analyzed. Cosmetic outcomes were evaluated based on patient and surgeon reported outcome measures. RESULTS: The study was conducted on a total of 603 eyes of 578 patients (316 males, 262 females) with an average age of 52.9 ± 15.1 years. At post-op day 1, patients reported no discomfort and could not tell which eye had surgery based on patient reported subjective grading scales. Over an average follow-up period of 23.1 ± 35 months (range: 6-216 months), there was one pterygium recurrence (0.2%), eighteen granulomas (2.9%), one self-resolving scleral melt (0.2%), one correctable restricted ocular motility (0.2%), one pupil abnormality (0.2%), one dellen (0.2%) and one correctable upper lid abnormality (0.2%). Planned laser vision correction was used for residual corneal scar in eleven eyes (1.8%) as a staged refractive approach. CONCLUSION: This study highlights an improved technique of an old concept of pterygium surgery that not only reduces the recurrence but also enhances cosmetic excellence and improves the quality of vision.

Corneoplastique: art of vision surgery.

Corneoplastique incorporates the entire spectrum of Vision corrective surgery including Lasik, premium cataract surgery, corneal surgery, ocular surface surgery and the full range of anterior segment surgery itself in manipulating the optics of every eye towards unaided emmetropia to define each and every eye surgeon as a "Vision Corrective Surgeon". This concept of approaching each case individually and designing vision therewith enables surgeons to correct not only virgin eyes but also approach complex cases and complications with the goal of 20/20 vision. Armed with this holistic approach, eye surgeons can use minimally invasive, aesthetically pleasing and visually focused surgery in single or staged process aiming for each patient's Best Vision Potential (BVP) raising eye surgery itself then to an Art!

Zyoptix: the Bausch & Lomb wavefront platform.

The Bausch & Lomb Zyoptix system provides a customized approach to corneal sculpting resulting in improvements in best-corrected visual acuity and contrast sensitivity over that achieved in conventional laser in situ keratomileusis surgery.