TITLE

Scheimpflug-Based Tomography and Biomechanical Assessment in Pressure-Induced Stromal Keratopathy

AUTHOR(S)
Faria-Correia, Fernando; Ramos, Isaac; Valbon, Bruno; Luz, Allan; Roberts, Cynthia J.; Ambrósio Jr., Renato
PUB. DATE
May 2013
SOURCE
Journal of Refractive Surgery;May2013, Vol. 29 Issue 5, p356
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
PURPOSE: To report the tomographic and biomechanical findings before and after treatment of a case of pressure-induced stromal keratopathy (PISK), which was misdiagnosed as diffuse lamellar keratitis (DLK). METHODS: A case report of a referred patient with supposed diagnosis of DLK after LASIK in the right eye. Scheimpflug-based corneal tomography and biomechanical assessment were provided by the Pentacam HR and CorVis ST (Oculus Optikgeräte GmbH, Wetzlar, Germany). RESULTS: A layer of corneal opacity beneath the flap with a presumably fluid-filled interface area was observed on slit-lamp biomicroscopy. Scheimpflug image from Pentacam revealed a hyperreflective area underneath the flap interface. Goldmann applanation tonometry was 12 mm Hg, whereas CorVis intraocular pressure was 53.5 mm Hg with deformation amplitude of 0.42 mm. Two days after starting oral and topical ocular hypotensive therapy, CorVis intraocular pressure was 14 mm Hg and deformation amplitude was 1.02 mm. CONCLUSIONS: Ocular hypertension in PISK was associated with lower deformation response, along with steepening and thickening of the cornea.
ACCESSION #
87556768

 

Related Articles

  • Complications secondary to cosmetic artificial iris anterior chamber implants: a case report. Shweikh, Yusrah; Ameen, Sally; Mearza, Ali // BMC Ophthalmology;Jul2015, Vol. 15 Issue 1, p97 

    Background: Artificial iris anterior chamber implants were originally developed for therapeutic purposes but have been used recently for the cosmetic alteration of eye colour. There is a growing body of evidence surrounding their associated risks. We report a case presenting with complications...

  • Complications secondary to cosmetic artificial iris anterior chamber implants: a case report. Shweikh, Yusrah; Ameen, Sally; Mearza, Ali // BMC Ophthalmology;Aug2015, Vol. 15 Issue 1, p1 

    Background: Artificial iris anterior chamber implants were originally developed for therapeutic purposes but have been used recently for the cosmetic alteration of eye colour. There is a growing body of evidence surrounding their associated risks. We report a case presenting with complications...

  • New Scheimpflug Dynamic In Vivo Curve Analyses to Characterize Biomechanical Changes of the Cornea After Cross-linking for Progressive Keratoconus. Steinberg, Johannes; Frings, Andreas; Mousli, Aiham; Casagrande, Maria K.; Druchkiv, Vasyl; Katz, Toam; Linke, Stephan J. // Journal of Refractive Surgery;Jan2016, Vol. 32 Issue 1, p34 

    PURPOSE: To evaluate the effect of corneal cross-linking (CXL) in progressive keratoconus by applying in vivo static and dynamic Scheimpflug analyses. METHODS: In this longitudinal retrospective study, corneal topography and tomography (Pentacam HD) and dynamic Scheimpflug-based biomechanical...

  • Applications of Scheimpflug Imaging in Glaucoma Management: Current and Potential Applications. Nguyen, Alexander T.; Liu, Tiffany; Liu, Ji // Journal of Ophthalmology;12/4/2016, p1 

    Scheimpflug photography is the basis for a variety of imaging devices that are highly versatile. The applications of Scheimpflug imaging are wide in scope, spanning from evaluation of corneal ectasia to quantifying density in nuclear sclerotic cataracts. The potential uses for Scheimpflug-based...

  • Diagnostic Imaging Technology for Corneal Analysis. Yeung, Karen K.; Kit, Brian // Review of Cornea & Contact Lenses;Jun2015, p24 

    The article discusses the availability of diagnostic imaging technology for corneal analysis. The processes and methods involved in such technologies that include corneal topography and tomography, Scheimpflug-based noncontact tonometry, and anterior segment optical coherence tomography is...

  • Topikal Proparakain'in Neden OlduÄŸu Sekonder Toksik Keratopatiler. Kubaloğlu, Anıl; Sarı, Esin Söğütlü; Evcili, Pınar Sorgun; Akyol, Sibel; Koytak, Arif; Özertürk, Yusuf // Turkish Journal of Ophthalmology / Turk Oftalmoloji Dergisi;Mar2012, Vol. 42 Issue 1, p30 

    Purpose: To evaluate the clinical findings of toxic keratopathies secondary to topical proparacaine (Alcaine, Alcon) abuse and the results of medical and/or surgical treatment options. Material and Method: We retrospectively analyzed twenty-two eyes of 25 patients who developed toxic keratopathy...

  • Anterior Stromal Puncture for Bullous Keratopathy. Tseng-Chiang Tsai; Chuan-Yi Su; Chang-Ping Lin // Ophthalmic Surgery, Lasers & Imaging;Sep/Oct2003, Vol. 34 Issue 5, p371 

    BACKGROUND AND OBJECTIVE: To evaluate the effects of anterior stromal punctures on the symptomatic relief of patients with bullous keratopathy considered ineligible for penetrating keratoplasty. PATIENTS AND METHODS: Five eyes of five patients with bullous keratopathy who had intolerable pain,...

  • Lipid keratopatide konfokal mikroskopi, ultrasonik biyomikroskopi ve optik koherens tomografi bulguları. Türk, Adem; Erdöl, Hidayet // Gulhane Medical Journal;Jun2011, Vol. 53 Issue 2, p126 

    In this study we aimed to present the findings of confocal microscopy, ultrasonic biomicroscopy and optical coherence tomography in lipid keratopathy which is a rare corneal disease. A 54-year-old male patient with no history of eye disease or systemic disorder was admitted to our clinic with...

  • Aldose Reductase and Complications of Diabetes. Cogan, David G.; Kinoshita, Jin H.; Kador, Peter F.; Robison, Gerald; Datilis, Manuel B.; Cobo, L. Michael; Kupfer, Carl // Annals of Internal Medicine;Jul84, Vol. 101 Issue 1, p82 

    Offers a perspective on aldose reductase and the complications of diabetes. Concept of aldose reductase and diabetic cataracts; Analysis of aldose reductase inhibitors; Assessment on aldose reductase and diabetic keratopathy.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics