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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 […]

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

Q: 27 year old woman wants Lasik. MR -5.75 +0.50 x 95 20/20 – 5.25+0.50 x 85 20/20 Pachs 574 OD, 599 OS Topographies attached. What concerns me is the skewed topography left eye. Would you recommend: 1. No refractive surgery 2. PRK 3. Lasik Thanks, David Atlanta, GA A: Hi David In general, if

Q: When McLean originally published this technique (Ophthalmology, 1986), it was with a regular, non-bent 20g needle. The advantage of using such a large needle is that there is zero chance of perforating. When Peter Laibson discussed this technique at the AAO, he suggested maybe using a smaller (i.e. 25g) needle. With that, unbent, folks

Q: Dear All, I would highly recommend the above EXCELLENT review article (link below). Many of our colleagues worked very hard to produce and excellent summary of the “state of the art”. Randy Highland Park, IL  A: dear randy, parag, roy, and everyone else i just read this article in the blue journal, it agree