We demonstrate adaption of anterior lamellar wedge resection to achieve satisfactory visual rehabilitation in pellucid marginal degeneration. Pre-operative visual acuity was 6/120 due to central scarring due to hydrops.
The surgical technique included the accurate measurement of a corneal arc utilising a range of corneal trephines, partial lamellar dissection of extremely thin peripheral corneal wedge with Melles dissectors, paracentesis to enable manipulation of cornea, and peripheral compression sutures.
Our video demonstrates successful restoration of physiological anterior segment relationships in a patient with extreme pellucid marginal degeneration. This wedge resection also created a new visual axis above the pre-existing scar, resulting an UAVA of 6/9 at 1 month.
GLISTENINGS IN INTRAOCULAR LENSES IN AUSTRALIA AND NEW ZEALAND- A COLLABORATIVE SURGICAL QUALITY AUDIT OVER THE 24 MONTH PERIOD UP TO FEBRUARY 2017. FINDINGS OF THIS AUDIT OF LENSES IMPLANTED BETWEEN 1995 AND 2016, HIGHLIGHT THE ONGOING PRESENCE AND SEVERITY OF VACUOLES EVEN IN THE MOST RECENTLY IMPLANTED LENSES.