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Purpose: To report a case of unusual coexistence of keratoconus and optic disc pit. Methods: A 29-year-old male patient followed up because of the left established and right subclinical keratoconus presented with blurred vision on the left eye that occurred within days. In addition to a comprehensive ophthalmic examination, computerized corneal topography (CT), corneal pachymetry, and optical coherence tomography (OCT) examination were performed. Results: The corneal CT showed a mild keratoconus pattern, with a minimum corneal pachymetry of 472 in the right eye and moderate keratoconus pattern with a minimum pachymetry of 435 micron in the left eye. The OCT scans showed the presence of the optic disc pit and related maculopathy. Conclusions: This is the second report of the coexistence of keratoconus and optic disc pit in the literature. The association of these two entities is therefore less likely to be accidental. Further histopathological studies will be necessary to explain this relationship ...

Keratoconus affecting young population is a progressive eye disease. This disease may remain silent until complain of visual impairment is appeared. By using the high-quality imaging techniques disease now can be diagnosed earlier. The goal of keratoconus treatment is to improve visual acuity and to prevent the progression of the disease. Although the previous treatment methods initially provided slightly improvement of visual acuity, could not prevent keratoconus progression. However, collagen cross-link (CCL) treatment both halts the progression of the disease and provides an increased vision. Since the side effect of the treatment is less and implementation is easier, CCL provides an important advantage for these patients and this technique becomes common day by day.

Keratoconus affecting young population is a progressiveeye disease. This disease may remain silent untilcomplain of visual impairment is appeared. By using thehigh-quality imaging techniques disease now can be diagnosedearlier. The goal of keratoconus treatment is toimprove visual acuity and to prevent the progression ofthe disease. Although the previous treatment methods initiallyprovided slightly improvement of visual acuity, couldnot prevent keratoconus progression. However, collagencross-link (CCL) treatment both halts the progression ofthe disease and provides an increased vision. Since theside effect of the treatment is less and implementation iseasier, CCL provides an important advantage for thesepatients and this technique becomes common day by day.Key words: Keratoconus, cross-linking, cornea.

To evaluate the relationship between laterality and perceived pain and cooperation during phacoemulsification under combined topical and intracameral anesthesia.University ophthalmology clinic and eye hospital, Kahramanmaraş, Turkey.Cohort study.Seventy-eight patients with senile cataracts who had ocular surgery were included prospectively. The dominant side was determined with the Edinburg Handedness Inventory. Phacoemulsification and intraocular lens implantation were performed. The surgeon graded the patient's cooperation from 0 (best) to 3 (worst). The duration of surgery was recorded. Another researcher rated perceived pain from 0 (no pain) to 10 (unbearable pain) using a visual analogue scale (VAS). Pain scores and the degree of cooperation for dominant-side and nondominant-side surgery were the primary outcomes.Forty-six patients had surgery in the dominant eye and 32 in the nondominant eye. The 2 groups were similar in age, sex, and severity and type of cataract. The mean VAS score was significantly higher in patients having dominant-side surgery than in those having nondominant-side surgery (P.01). Similarly, the mean cooperation score was significantly poorer in the patients having dominant-side surgery (P.05). Visual analogue scores were correlated with patient cooperation (r = 0.890, P.0001).Pain scores were higher in dominant-side surgery for cataract under topical and intracameral anesthesia, which should be kept in mind when selecting anesthesia and in studies in which pain is scored.No author has a financial or proprietary interest in any material or method mentioned.

A 72-year-old man was admitted to our clinic because of pain in the right eye. Corneal oedema, peripheral anterior synechiae formation and intraocular lens were determined in the right eye. The left eye was normal except for nuclear sclerosis. Intraocular pressure was 35 mm Hg in the right eye and 14 mm Hg in the left eye. The patient was diagnosed as having bullous keratopathy and glaucoma. He was treated with antiglaucoma drugs and artificial tears as an outpatient. Persistent keratopathy was observed at follow-up, despite adequate therapy. In the detailed anamnesis of the patient, we discovered that he had used a topical anaesthetic instead of the prescribed medicine owing to ocular pain. The patient was still using topical anaesthetic eye drops, despite warnings. Finally, evisceration was performed on his right eye because of corneal melting and perforation.