Q: Are there corneal thicknesses below which you would avoid any refractive surgery? I am considering PRK on this 34 y/o woman. Stable refraction for years. No family history of corneal disease MR: -3.00 -1.00 x 180 -3.00 -1.00 x 180 Pachymetry: 460 470 A: before 2005 or so we mostly worried about RSB, like …
Q: Emil: I’d like to try your technique. Can you share what your preferred trephine for ASA is (vendor, size, catalog #) ? For yours and the group’s interest: I’ve been using a corneal light protector sponge saturated with 70% Isopropyl alcohol (yep good old rubbing alcohol!) for 12 secs followed by chilled BSS rinse. …
I’m not sure what the point of your original question was. You seem to be implying that if one of us shares his or her vast experience accumulated over decades of careful observations, until it’s published it isn’t in some sense “real” (or believable) We are all very busy and unfortunately have to earn livings …
The role of non-peer-reviewed research (and forums like Keranet) Read More »
Q by Doctor Randy: Dear All, I have not seen the patient yet, but was called by a colleague who wanted to refer a 55 year old patient with the above to me for “corneal laser treatment”. I asked of the patient had any ocular surface disease/recurrent erosions, and was told that the only problem was …
Rx of Granular Corneal Dystrophy in the USA in 2015 Read More »
Q by Doctor P: I have a 37 yo high myope (-9.00) with 500 u corneas. She has a small area in the left nasal cornea of endothelial haze No other signs/symptoms No history of HSV etc. specular right and left eyes clearly abnormal OS>OD (increased coefficient of variation, lower cell count, weird dark centers …
Q: Dear Emyl I´m thinking if is a good case for corneal tattoo this case ? She is blind since child I would like to know more details about your thecnique What does it means and how do you do ” injecting the ink orthogonal to the corneal surface using fine tattoo needles” Thanks A: hi ronal i think this would …
Q: Dear KeraNet Members, A 17 year old patient came into my office yesterday with her mother after having bulbar conjunctival tattooing done to both eyes four days ago with purple ink. Pictures below. There is one entry point in each quadrant where the “body sculpting artist” dipped a needle into ink and irrigated saline under the …
Q: Kera-gurus: I have a 52 year old guy who had Custom LASIK one month ago for myopic astigmatism (OD -3.00 + 0.25 and OS -3.25 + 1.25). He is slightly overcorrected with refraction of +0.50 + 0.25 in each eye. He’s doing fine for distance activities such as soccer and driving. But he is …
Q: I saw a patient today for the first time who is an internist has been treated for dry eye for years. She really looked to me more like chronic inflammatory OSD due to blepharitis and possible allergy with Rosace, plugging of the glands, loss of lashes, conjunctivochalsis etc. She had no plugs in but …
Q: Good thought, John, but to what would we be responding on social media? Though it is likely a small audience, posting a response to Ophthalmology/Optometry Times is at least relevant. A post to Twitter/FB/etc. may seem like a random rant, unless the article has also been tweeted out, in which case we can respond …