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This study outlines the clinical features and comprehensive management of three cases of corneal injury by a bee sting. The stinger removal was attempted, and in two cases, the stinger was successfully removed. In one case, a portion of the stinger broke and was left in situ without inciting any further inflammation. In all the cases, the surrounding infiltrate was scraped, and after microbiological evaluation was found to be negative, topical corticosteroids were started. The management of corneal bee sting injuries should include appropriate surgical intervention along with the judicious use of corticosteroids after infective pathology has been excluded. [ABSTRACT FROM AUTHOR]

Purpose: Phototherapeutic keratectomy (PTK) plays an important role in the management of Reis-Bucklers’ corneal dystrophy. The usage of PTK for the treatment of anterior corneal dystrophies is limited by the depth of ablation. This case shows the usage of high ablation depth PTK as one of the management strategies to visually rehabilitate a patient of advanced Reis-Bucklers’ corneal dystrophy. Observations: We present a case of 32-year-old lady who was diagnosed with Reis-Bucklers’ dystrophy in both eyes. The patient had advanced form of the disease and history of recurrent corneal erosions. For visual rehabilitation and symptomatic relief, phototherapeutic keratectomy was planned in both eyes. In view of the advanced nature of the disease, the ablation depth had to be high to get an acceptably clear central cornea. Conclusions and Importance: PTK with high ablation depth is possible in advanced Reis-Bucklers’ corneal dystrophy unlike other types of anterior corneal dystrophies.

We report a case of a woman in her 30s who underwent femtosecond LASIK (laser-assisted in situ keratomileusis) in both eyes to correct her simple myopic astigmatism. After the surgery, both eyes developed diffuse lamellar keratitis, and intensive topical steroids were initiated to control the same. Subsequently, central toxic keratopathy (CTK) developed bilaterally. Three weeks after the surgery, the right eye showed signs of progressive epithelial ingrowth involving the pupillary area. Surgical intervention in the form of flap relift followed by debridement of the epithelial cells and an alcohol interface wash were performed to treat the same. This is the first report of an epithelial ingrowth following CTK after femtosecond LASIK. [ABSTRACT FROM AUTHOR]

Management of corneal perforation depends on the size, location and cause of the lesion. Smaller perforations can be managed with tissue adhesives (TAs), amniotic membrane transplantation or Tenon’s patch graft (TPG). Tenon’s capsule is an autologous transplant and, as such, does not require to be supplied by an eye bank support. A patient with sterile perforation after foreign body removal came to us. Since the application of TA was already unsuccessful, TPG was performed. The graft integrated well and healed with a vascularised scar. We report the integration of the TPG at the perforation site using high-resolution, anterior-segment, optical coherence tomography. [ABSTRACT FROM AUTHOR]

Fishing is a worldwide pastime enjoyed by millions of people. Ocular fishing injuries though uncommon may cause potentially devastating ocular trauma. We report a rare case of penetrating injury of the cornea by a barbed fish hook and its successful surgical management by "cut-it out technique". We are discussing the various techniques available for removal of fish hooks. The hook can be successfully removed with minimal trauma to ocular structures by understanding the structure of the fish hook and by employing the appropriate method of extraction. [ABSTRACT FROM AUTHOR]

BACKGROUND/AIMS: The purpose of this study was to compare and evaluate the visual outcome and complications of various techniques of secondary intraocular lens (IOL) (i.e., anterior chamber IOL [ACIOL], suture-fixated posterior chamber IOL [PCIOL], and glue-fixated PCIOL). STUDY DESIGN AND SETTING: This was a randomized, prospective, interventional, comparative, clinical trial study. SUBJECTS AND METHODS: Patients of either sex having aphakia and lacking posterior capsular support were included in the study, and patients having corneal or scleral pathology, optic atrophy, uncontrolled glaucoma, retinal detachment, and other retinal pathology were excluded from the study. The patients were divided into three groups after comprehensive ophthalmological examination - Group A (secondary ACIOL) included 44 patients, Group B (secondary scleral-fixated sutured PCIOL) included 32 patients, and Group C (fibrin glue-fixated sutured PCIOL) included 34 patients. RESULTS: A total of 110 patients were included in this study, of which 59 (53.63%) were males and 51 (46.37%) were females. The best-corrected visual acuity (VA) after 6 weeks was in the range of 20/60-20/40 in 36.4% of Group A and 40.6% of Group B patients. In Group C, 52.9% of patients had best-corrected VA in the range of 20/30-20/20. The overall complications were less in glued PCIOL group. CONCLUSION: It can be concluded that fibrin glue-assisted PCIOL implantation provides better visual outcome with minimal complications in eyes with deficient capsular support. [ABSTRACT FROM AUTHOR]