Air-Assisted Dome Drainage in Acute Corneal Hydrops: A 3D-OCT-Guided Approach.

To describe a technique for managing acute corneal hydrops in eyes with keratoconus using dome stromal drainage with intracameral air injection under real-time three-dimensional (3D) microscope-integrated optical coherence tomography (OCT) guidance. We describe a retrospective case series of six eyes from six patients with keratoconus who developed acute corneal hydrops. All eyes underwent intracameral air injection with controlled dome puncture for stromal fluid drainage, without the use of sutures.

Advanced imaging of corneal neovascularisation with a novel swept-source AS-OCTA system.

Aims: To explore the clinical application of a novel swept-source anterior segment optical coherence tomography angiography (AS-OCTA) system for imaging corneal neovascularisation (CoNV), assessing limbal vasculature and detecting short-term vascular changes following pharmacologic vasoconstriction.

Methods: This cross-sectional observational study included 20 eyes: 10 with clinically diagnosed CoNV of various aetiologies and 10 healthy controls. Each eye underwent AS-OCTA imaging using the BMizar 400kHz Full-Range Swept-Source OCT system at baseline and after administration of 10% phenylephrine (PE).

How well does non-invasive tear break-up time reflect patient-reported ocular discomfort? Insights from a clinical setting.

Objective: To assess the correlation between non-invasive tear break-up time (NIBUT) and patient-reported symptoms in Dry Eye Disease (DED), and to explore whether NIBUT can serve as a supportive clinical parameter reflecting symptom severity.

Methods: This single-centre retrospective study included data from 295 subjects (209 females and 86 males), complaining of chronic ocular discomfort and evaluated in a third-level specialized lab - Laboratory for Cornea and Ocular Surface Analysis, in the period between July 2023 and June 2024. NIBUT was measured with the CA-800 topographer (Topcon Healthcare, Tokyo, Japan), while subjective symptoms were estimated with the Ocular Surface Disease Index (OSDI), the Visual Analogue Score (VAS), and the Numerical Rate Score (NRS).

Non-Descemet Stripping Automated Endothelial Keratoplasty (nDSAEK) for Late Endothelial Failure After Mushroom Keratoplasty: A Retrospective Analysis of Visual and Anatomical Outcomes.

: Mushroom penetrating keratoplasty (MPK) is an alternative to traditional penetrating keratoplasty (PK) that offers improved graft survival and reduced immunological rejection. However, MPK grafts may still experience endothelial failure over time. This study evaluates the outcomes of non-Descemet Stripping Automated Endothelial Keratoplasty (nDSAEK) as a surgical approach for endothelial decompensation following MPK.

Neovascular Proliferation over a Cosmetic Artificial Iris Implant.

Introduction: The NewColorIris and BrightOcular implants were initially developed to address congenital iris defects. However, they found application for cosmetic purposes. Unfortunately, these implants are frequently linked to severe complications, including glaucoma, endothelial dysfunction, cataract development, and iris abnormalities.

Hyperreflective Foci in the Ectopic Inner Foveal Layer of Advanced Idiopathic Epiretinal Membranes.

Purpose: To investigate the presence of hyperreflective foci (HF) in the ectopic inner foveal layer (EIFL) of eyes with advanced idiopathic epiretinal membranes (iERMs) before and after pars plana vitrectomy (PPV) with ERM peeling.

Methods: A retrospective analysis was conducted on clinical records and spectral-domain optical coherence tomography (SD-OCT) scans from consecutive patients who underwent PPV with ERM peeling. Stage 3 and stage 4 iERMs were included.

In vitro flow properties of Preserflo Michroshunt with an intraluminal stent.

Objectives: This study aimed to evaluate the impact of varying stent sizes and materials on the outflow of the Preserflo Microshunt (PMS).

Methods: In vitro experiments were conducted using five new PMS samples. Intraluminal stents of two materials (nylon and polypropylene) and two sizes (9-0 and 10-0) were tested.

Ocular Surface Microbiota and Corneal Transplant Outcome: Is There a Link?

Recent research has highlighted the critical role of microbiota in organ transplant outcomes, particularly in the gut. However, the impact of ocular surface microbiota (OSM) on corneal transplantation remains largely unexplored. This piece examines the potential connection between OSM imbalances and corneal graftoutcomes, suggesting that microbial shifts could influence immune responses and transplant success.

Open-Angle Glaucoma in Idiopathic Normal Pressure Hydrocephalus Before and After Ventriculo-Peritoneal Shunt Surgery: An Interventional Prospective Study.

Objective: To assess the frequency of open-angle glaucoma in Caucasian patients affected by idiopathic normal pressure hydrocephalus (iNPH) prior to ventriculo-peritoneal shunt surgery, and to evaluate the progression of optic nerve damage 1-year postsurgery.

Methods: Thirty-five consecutive patients diagnosed with iNPH were prospectively recruited between November 2021 and June 2023. Assessments included visual acuity, intraocular pressure, macular ganglion cell complex thickness, retinal nerve fiber layer thickness, visual field test, central corneal thickness, axial length, and corneal hysteresis.

Long-Term Clinical Outcomes and Anterior Segment Optical Coherence Tomography Findings After Artificial Endothelial Replacement Membrane Implantation.

Purpose: This study examines the long-term clinical outcomes of an artificial endothelial replacement membrane implant used to treat corneal edema. It also explores the interaction between the device and the posterior surface of the cornea.

Methods: Patients suffering from late endothelial keratoplasty failure (5 patients) or bullous keratopathy (2 patients) after multiple surgeries underwent EndoArt (EyeYon Medical, Israel) implantation.

A Pilot Case Series on the Use of a Large Mushroom-Shaped Corneal Graft for the Surgical Management of Post-Penetrating Keratoplasty Ectasia and Endothelial Failure.

: The aim of this study was to evaluate the effect of a surgical technique for managing post-penetrating keratoplasty (PK) ectasia complicated by late endothelial failure (LEF). : A single-center pilot case series was conducted regarding consecutive patients affected by post-PK ectasia with late graft failure. Using a microkeratome, a single donor cornea was dissected to prepare a two-piece graft, comprising a larger anterior lamella made up of anterior stroma and a smaller posterior lamella made up of posterior stroma, Descemet's membrane, and endothelium.

Critical insights into the ocular surface microbiome: the need to standardize.

Data from the literature indicates that the human ocular surface is inhabited by diverse commensal microbial communities, crucial for maintaining the homeostasis of healthy eyes. The ocular surface microbiome (OSM) plays a protective immunoregulatory role against pathogenic species, and any dysbiosis may contribute to disease onset. Traditional culture methods, employed in both clinical and research settings, have limitations.

Corneal densitometry measurements comparison between anterior segment OCT and scheimpflug imaging.

Purpose: To evaluate and compare the repeatability of corneal densitometry (CD) measurements obtained using both an anterior-segment optical coherence tomography (AS-OCT) device and a Scheimpflug camera system, while also assessing the level of agreement. The study also sought to investigate the correlation of CD with age, gender, and central corneal thickness (CCT) in normal eyes.

Methods: CD measurements were obtained using the Casia 2 and the Pentacam AXL Wave.

Retrolental cohesive ophthalmic viscoelastic injection for severe subluxated cataracts: a prospective study.

Background: To assess anatomical and functional outcomes of retrolental cohesive ophthalmic viscoelastic injection ("Viscolift technique") in patients with severely subluxated cataracts.

Methods: In the present prospective study, we included patients older than 18 years with severely subluxated cataracts and phacodonesis. Full medical history was obtained at the baseline ophthalmological assessment.

Efficacy of the Combined Intrastromal Injection of Voriconazole and Amphotericin B in Recalcitrant Fungal Keratitis.

This study aims to report the efficacy of a combined intrastromal injection in optimizing the outcome of severe mycotic keratitis. Herein, we report a case series of 20 consecutive patients with positive fungal cultures not responding to topical antifungal treatment. Patients received cycles of intrastromal injections of voriconazole (50 µg/0.

Management of corneal melting after collagen cross-linking for keratoconus: a case report and a review of the literature.

Purpose: We describe the management of a case of severe corneal melting after corneal cross-linking (CXL) treated with a staged approach using a conjunctival flap followed by deep anterior lamellar keratoplasty (DALK).

Methods: A 12-year-old male developed severe corneal melting with pending perforation after an accelerated epithelium-off CXL protocol. We initially treated the patient with a conjunctival flap to prevent perforation.