Atlas of anterior segment OCT

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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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" NNO>2+5O84@ ;8,+. 652=2.02@ 08 8H5 ?4-.-? =22P-./ +. 2Q+4H+B8. 985 5295+?BQ2 =H5/25>L %25 ,+.-92=0 5295+?B8. ;+= MRSMR ;-01 T ULVRSORLMV * RVRG -. 012 5-/10 2>2G +.@ MRSMR ;-01 T ULVRSORLWV * XR -. 012 42Y 2>2L %25 '(OZX 08,8/5+61> %2*+,+6 @-=64+> 985 012 5-/10 +.@ 42Y 2>2 -= 92+0H52@ 3248; -. [-/H52 UL &.2 ?+. .802 +. -.925-85 =02262.-./G =-,-4+5 08 P25+08?8.H=G 8. 012 +3=84H02 ULV \ -.=0+.0+.28H= ?H5Q+0H52 ,+6= -. 3801 2>2=L ]8.201242==G 012 68=025-85 :[( +662+5= .85,+4G +.@ 012 -.=0+.0+.28H= 68=025-85 ?H5Q+0H52 ,+6 =18;= -. 3801 2>2= + Q25> =>,,205-?+4 38;B2 ;-01 012 5H42 +=B/,+B=, +.@ .8 98?+4 =02262.-./L &. 012 80125 1+.@G 012 26-0124-+4 ,+6 52+@-4> @-=64+>= 3-4+025+4 98?+4 01-?P2.-./ 89 012 26-0124-H, ?2.05+44>G ;-01 ,852 01-?P2.-./ -.9258?2.05+44>G +??8H.B./ 985 012 98?+4 =02262.-./ 8. 012 +.025-85 ?H5Q+0H52 ,+6L !1-= ?8H4@ 32 @H2 08 ?8.0+?0 42.= ;+56+/2G +4018H/1 012 6+B2.0 @2.-2= +.> ?8.0+?0 42.= ;2+5L D. ,> 2*625-2.?2G 012=2 H.H=H+4 26-0124-+4 @-=05-3HB8.= +52 .80 01+0 H.?8,,8.G +.@ 012 ?4-.-?-+. =18H4@ +4;+>= ?8.=-@25 012 +9852,2.B8.2@ 68==-3-4-0> -. 2>2= ;-01 + ,-=,+0?1 320;22. 012 +.025-85 ?H5Q+0H52 +.@ 012 68=025-85 ?H5Q+0H52 +.@ I8+0L !12 '(OZX -. 01-= =?2.+5-8 @82= + /52+0 ^83 -. ,2+=H5-./ +44 Q+5-+342= +.@ +4-/.-./ +44 012 ,+6= 985 +. 2+=> @-+/.8=-=L

21


2

ATLAS OF ANTERIOR SEGMENT OCT

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!"#$ %&'$ '$((")$ "=>,,205-? 38;B2= +.@ 98?+4 -.925-85 =02262.-./ 8. 012 +.025-85 ?H5Q+0H52 ,+6 ?+. =8,2B,2= 32 =2?8.@+5> 08 26-0124-+4 ;+56+/2L $Q+4H+B8. 89 012 26-0124-+4 ,+6 +.@ ?8,6+5-=8. 320;22. +.025-85 +.@ 68=025-85 ?H5Q+0H52 ,+6= ?+. +-@ 08 @-A252.B+02 01-= ?8.@-B8. 958, 2+54> ?85.2+4 2?0+B? +4025+B8.=L

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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