C.S.O. COSTRUZIONE STRUMENTI OFTALMICI
CONTRIBUTORS G. Alessio, J. Aliò del Barrio, J. Aramberri, J. Arbelaez, S. Awwad, S. A. Bagaglia, M. P. Bartolomei, F. I. Camesasca, N. Cardascia, F. Carones, M. Cennamo, A. Cummings, A. Eldanasoury, E. Favuzza, M. Figus, M. Frisani, K. A. Knutsson, M. G. La Tegola, C. Macaluso, R. Mencucci, S. Naroo, C. Posarelli, P. Rama, G. Savini, T. Seiler, P. Swann, S. Tavazzi, C. Tredici, J. M. Varas, P. Vinciguerra, Z. Wang, V. V. Wittwer, F. Zeri, S. Zuccarini
FABIANO EDITORE
INDEX
AS-OCT
ATLAS
INTRODUCTION
CLINICAL CASES
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CLINICAL CASES OBSERVATIONS AND ANALYSIS
INDEX
OCT
CLINICAL CASES
CASE 1 POST REFRACTIVE SURGERY ECTASIA Described by Shady Awwad
CASE 2 THE EPITHELIUM DESERVES ATTENTION Described by Shady Awwad
CASE 3 IOL POWER CALCULATION FOLLOWING RADIAL KERATOTOMY Described by Giacomo Savini
CASE 4 HIGH RESOLUTION OCT IMAGING OF THE EPITHELIUM Described by Jorge L. Alió Del Barrio
CASE 5 LATE CORNEAL EDEMA FOLLOWING PENETRATING KERATOPLASTY Described by Paolo Rama, Karl Anders Knutsson
CASE 6 CORNEAL PENETRATING INJURIES Described by Paolo Rama, Karl Anders Knutsson
CASE 7 INFECTIOUS KERATITIS SEQUELAE Described by Paolo Rama, Karl Anders Knutsson
CASE 8 ALLOGENIC CORNEAL LENTICULE IMPLANTATION FOR HYPEROPIA Described by Zheng Wang
CASE 9 CORNEAL RESHAPING ASSISTANCE AND PREMIUM IOL IMPLANTATION Described by Claudio Macaluso
CASE 10 MYORING IN KERATOCONUS Described by Claudio Macaluso
CASE 11 DESCEMETORHEXIS WITHOUT ENDOTHELIAL KERATOPLASTY Described by Claudio Macaluso
CASE 12 CORNEAL WOUND Described by José Miguel Varas
INDEX
CASE 13 LACTEOCRUMENASIA Described by José Miguel Varas
CASE 14 CORNEAL ALLOGRAFT INLAYS Described by Arthur Cummings
CASE 15 CORNEAL DECOMPENSATION WITH ANTERIOR GRANOLUMATOUS UVEITIS Described by Chiara Posarelli, Maria Pia Bartolomei, Michele Figus
CASE 16 A CASE OF SUBCONJUNCTIVAL DIROFILARIASIS Described by Gianni Alessio, Maria Grazia La Tegola, Nicola Cardascia
CASE 17 A FROG JUMPING INTO THE PUPIL Described by Fabrizio Zeri, Silvia Tavazzi, Peter Swann
CASE 18 OCT FOR THE FOLLOW-UP OF ECTATIC DISEASE AND CROSS-LINKING Described by Valéry Vinzent Wittwer, Theo Seiler
CASE 19 HIGH RESOLUTION OCT FOR THE FOLLOW-UP OF NOVEL REFRACTIVE TECHNIQUES - LIKE Described by Valéry Vinzent Wittwer, Theo Seiler
CASE 20 EPITHELIAL INGROWTH IN LASIK FOLLOWING OCULAR TRAUMA Described by Paolo Vinciguerra, Fabrizio Ivo Camesasca, Costanza Tredici
CASE 21 COMPLEX INTRAOCULAR LENS CASES Described by Jaime Aramberri
CASE 22 DEEP ANTERIOR LAMELLAR KERATOPLASTY Described by Alaa Eldanasoury
CASE 23 PROGRESSIVE THICKNESS INTRASTROMAL CORNEAL RING SEGMENTS Described by Juan G. Arbelaez
CASE 24 HERBERT’S PITS Described by Juan G. Arbelaez
INDEX
CASE 25 DELLEN Described by Juan G. Arbelaez
CASE 26 AS-OCT IMAGING IN A CASE OF POST PENETRATING KERATOPLASTY SCLERAL LENS FITTING Described by Fabrizio Zeri, Mauro Frisani, Silvia Tavazzi, Shehzad Naroo
CASE 27 CORNEAL INFECTIONS Described by Rita Mencucci, Eleonora Favuzza, Michela Cennamo
CASE 28 AS-OCT AND IMPLANTABLE COLLAMER LENSES Described by Silvio Zuccarini, Simone Alex Bagaglia
CASE 29 THE QUESTION FOR EARLY KERATOCONUS DETECTION: THE ROLE OF EPITHELIAL MAPPING Described by Francesco Carones
1 POST REFRACTIVE SURGERY ECTASIA DIAGNOSIS AND IDENTIFICATION OF THE INITIAL SURGERY PROCEDURE
SHADY AWWAD, M.D. Cornea and Refractive Surgery Division, Department of Ophthalmology, American University of Beirut Medical Center - Beirut, Lebanon
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2 THE EPITHELIUM DESERVES ATTENTION NO REFRACTIVE SURGERY EVALUATION IS COMPLETE WITHOUT A LOOK AT THE EPITHELIAL MAP
SHADY AWWAD, M.D. Cornea and Refractive Surgery Division, Department of Ophthalmology, American University of Beirut Medical Center - Beirut, Lebanon
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
21
2
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22
3 IOL POWER CALCULATION FOLLOWING RADIAL KERATOTOMY THE RAY TRACING APPROACH
GIACOMO SAVINI, M.D. Bietti Foundation Irccs - Rome, Italy
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'+.> ,2018@= +.@ 985,H4+= 1+Q2 322. @2Q24862@ -. 85@25 08 ?+4?H4+02 012 -.05+8?H4+5 42.= _D&C` 68;25 -. 2>2= 01+0 1+Q2 H.@25/8.2 C"(D# 85 EF#L &. 012 80125 1+.@G 8.4> + 92; ,2018@= +52 ?H552.04> +Q+-4+342 985 2>2= 01+0 1+Q2 H.@25/8.2 5+@-+4 P25+0808,> _F#`L F+@-+4 P25+0808,> ;+= ?+55-2@ 8H0 08 ?8552?0 ,>86-+ 3> I+72.-./ 012 ?85.2+4 ?H5Q+0H52L !12 ?+4?H4+B8. 89 012 D&C 68;25 -. 2>2= ;-01 F# -= 658342,+B? 985 012 98448;-./ 01522 52+=8.=a U` 012 524+B8.=1-6 320;22. 012 +.025-85 +.@ 012 68=025-85 ?85.2+4 ?H5Q+0H52 -= +40252@G1 so that the standard ULZZWV P25+08,205-? -.@2* -= .8 48./25 Q+4-@b M` 012 86B? c8.2 ,+> 32 =,+4425 01+. 012 @-+,2025 +48./ ;1-?1 012 ?85.2+4 ?H5Q+0H52 52+@-./= +52 0+P2.b Z` 012 985,H4+ 01+0 HB4-c2= 012 ?85.2+4 68;25 += + 652@-?085 985 012 D&C 68=-B8. _=H?1 += 012 %8A25 dG %844+@+> U +.@ MG +.@ (F#S!` ,+P2= +. 2558.28H= 2=B,+B8. @H2 08 012 +5BJ?-+4 I+72.-./ -.@H?2@ 3> =H5/25>L F+> 05+?-./G ;1-?1 1+= 322. =H??2==9H44> H=2@ 08 ?+4?H4+02 012 D&C 68;25 -. 2>2= ;-01 ,>86-? C"(D# +.@ EF#G2 -= +. 242/+.0 =84HB8. +4=8 =H-0+342 -. 2>2= ;-01 652Q-8H= F#L D0 8A25= =2Q25+4 +@Q+.0+/2= ;-01 52=62?0 08 05+@-B8.+4 01-.O42.= Q25/2.?2 985,H4+=a e -0 @82= .80 524> 8. + J*2@ 5+B8 320;22. 012 +.025-85 +.@ 68=025-85 ?85.2+4 ?H5Q+0H52G 3H0 -.=02+@ -= 3+=2@ 8. 012 ?H5Q+0H52 ,2+=H52,2.0= 89 3801 =H59+?2=b e -0 @82= .80 .22@ +.> 1-=085-?+4 -.985,+B8. _2L/LG 012 +,8H.0 89 ,>86-+ ?8552?02@ 3> 5295+?BQ2 =H5/25>`b e -0 @82= .80 2=B,+02 012 D&C 68=-B8. 958, ?85.2+4 68;25 _;1-?1 -= +5BJ?-+44> ,8@-J2@ 3> 5295+?BQ2 =H5/25>`L F+0125G 012 D&C 68=-B8. -= 652@-?02@ H=-./ + 65865-20+5> +4/85-01, 3+=2@ 8. Q+5-2@ +.025-85 =2/,2.0 6+5+,2025=G =H?1 += 012 68=-B8. 89 012 =?425+4 =6H5b e -0 ?+. 32 ?+4?H4+02@ 8Q25 @-A252.0 @-+,2025=G @262.@-./ 8. 012 6H6-4 =-c2 85 012 86B? c8.2 @-+,2025b e -0 @82= .80 625985, 6+5+*-+4 ?+4?H4+B8.=G 3H0 -.=02+@ 0+P2= -.08 ?8.=-@25+B8. 1-/125 85@25 +3255+B8.=G ;1-?1 ?+. 32 5242Q+.0 -. 2>2= ;-01 F#b e -0 @-52?04> 625985,= ?+4?H4+B8.= 985 012 ?>4-.@25 89 012 D&C -. ?+=2 89 ?85.2+4 +=B/,+B=,b e 8.?2 -0 -= -.=0+442@ 8. + @2Q-?2 =H?1 += 012 '(OZXG -0 -= +. 2+=> =84HB8. 01+0 @82= .80 52fH-52 ?8,64-?+02@ $*?24 J42=L !12 98448;-./ ?+=2 1-/14-/10= -0= H=29H4.2==L " VMO>2+5O84@ ,+. ;+= 5292552@ 08 H= @H2 08 Q-=H+4 @-=0H53+.?2= 01+0 1+@ 322. ;85=2.-./ 8Q25 012 4+=0 0;8 >2+5=L %2 1+@ H.@25/8.2 F# -. UXgX 08 ?8552?0 ,>86-+G ;-01 UM -.?-=-8.= -. 012 5-/10 2>2 +.@ g -.?-=-8.= -. 012 42Y 2>2L %2 5268502@ 01+0 012 6528625+BQ2 5295+?B8. ;+= ONLRR \ -. 3801 2>2=L (-.?2 12 -= +. +-54-.2 6-480G 12 ;+= =HA25-./ 958, 1+482= +.@ /4+52 2=62?-+44> +0 .-/10 +.@ .22@2@ 012 32=0 68==-342 H.?8552?02@ Q-=H+4 +?H-0>L !12529852G D @2?-@2@ 08 -,64+.0 + 6-.1842 D&C _DKOgG "?H98?H=` -. 3801 2>2=L [-/H52= U +.@ M =18; 012 ?85.2+4 ,+6= /2.25+02@ 3> 012 '(OZXG @-=64+>-./ + ?2.05+4 I+72.-./ +.@ + =,+44 +=>,,205-? 86B? c8.2L
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