Posters

Saving Private Ryan (saving the patient’s cornea)

Poster Details

First Author: A.Titov RUSSIA

Co Author(s):    D. Mirsaitova                    

Abstract Details

Purpose:

To save and improve the sphericity of the cornea of a patient with stage 3 keratoconus in one eye and increase the refractive result in the paired eye after penetrating keratoplasty

Setting:

The S. Fyodorov "Eye Microsurgery" Federal State Institution, St. Petersburg Branch

Methods:

Patient, S., 37years old. Keratoconus of the right eye for about 8 years. History of operated keratoconus of the left eye, condition after penetrating keratoplasty Visus OD 0.03Sph-13.00Cyl-4.00ax 15=0.40, OS0.30Sph-2.50Cyl-3.25ax165=0.75. OD K1 56,2 D, K2 62,2 D axis89,5, OS K1 44,3 D, K2 49,6 D axis85,0.OD axial length23.69 mm, ACD4.05mm, lens thickness 4,08mm; OS axial length23.87 mm, ACD4.12 mm, lens thickness 4,18mm. IOP19 and 17mmHg. Сorneal thickness: OD–400mm, 559mm.Status localis–OD: Thinned, Fleischer ring, displacement of the apex of the cornea, OS: transparent cornea, postoperative corneal scar, condition after penetrating keratoplasty.Diagnosis: OD-keratoconus3, OS-operated keratoconus, the state after penetrating keratoplasty.

Results:

Results OD - Implantation of intrastromal corneal segments. (further planned CXL) OS - performing refractive surgery using the Smile technology. 1 day post-op: OD 0.40 Sph 0.00 Cyl 0.00 ax 0 = 0.40 OS 0.650 Sph 0.00 Cyl 0.00 ax 0 = 0.650 OD K1 52.0 D, K2 54.0 D axis 179.7 OS K1 43.2, K2 47.1 axis 87.4

Conclusions:

This clinical example demonstrates the possibility of conducting organ-preserving technologies in the presence of stage 3 keratoconus and the possibility of performing refractive surgery using the Smile technology on the eye after penetrating keratoplasty.

Financial Disclosure:

None