Total Anterior Segment Reconstruction
by Allon Barsam MD, Eric D. Donnenfeld MD
Allon Barsam, MD, MRCOphth, and Eric Donnenfeld, MD, FACS, present an eight stepped approach to the management of an extensive infectious corneal perforation with iris and intumescent cataract plugging the wound. The situation is further complicated by raised intraocular pressure due to secondary angle closure. The authors demonstrate complete reconstruction of the anterior segment with an excellent post operative result.
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Comments (13)
bravo
beautiful surgery.
Wonderful!
Great case, Allen!
Nice surgery. What was the post op vision? Was the vitrectomy really necessary?
Nice video I would recommend a keratoprosthesis during phaco, and a horizontal eyelid shortening procedure instead of tarsorraphy in such a case of eyelid laxity
Beautiful!
Congrats!!
fantastic result
20/20 for distance and J1 for near (the IOL was multifocal).... No. sadly we already knew that the patient had poor visual potential with a history of proliferative diabetic retinopathy that had been treated with PRP in the past. The patient's vision improved from light perception to 20/200 with all sutures still in place.
wow !
Excellent result, congratulations! And the VA?
wow