U
NIVERSITY
O
PHTHALMOLOGY
C
ONSULTANTS
C
ASE OF THE
M
ONTH
CASE #22
R
EFRACTIVE
S
URGERY
POSTOPERATIVE OUTCOME OF TISSUE ADHESIVE APPLICATION
POSTOPERATIVE WEEK 1
OD: Stable with no sign of infiltrate
Manifest refraction: +2.00 to +1.00 x 90 with a visual acuity of 20/25
OS: Visual acuity: 20/400
Deep anterior chamber
Smaller infiltrate
The patient was fitted with a bandage contact lens OS.
Antibiotic regimen
— Ciprofloxacin (Ciloxan) and amikacin tapered to tid OD and qid OS
POSTOPERATIVE WEEK 2
The tissue adhesive was removed.
A lamellar keratoplasty was performed.
– A 5-mm patch graft was used to treat the corneal perforation.
Antibiotic therapy was maintained.
Click to view lamellar keratoplasty
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