BrilliantVision

We illustrate in this video our innovative technique of using cornea cross-linking in the vehicle cornea used in Boston keratoprosthesis. This pre-treatment aims to make the vehicle cornea more resistant to cornea proteolysis and melt, a potentially common and severe problem that many Kpro cases may encounter in the early or even late postoperative period. Vehicle cornea melt can lead to prosthesis extrusion, infection etc. Our case series of the successful addition of CXL in... the Boston (Dohlman) keratoprosthesis as well as ex-vivo laboratory documentation of the benefits to enzyme digestion were published by our team here in Athens, Greece in the Journal of Cornea. On a personal note I would like to dedicate all this work to the extremely generous tutorship and mentorship of Dr. Claes Dohlman, MD, PhD: the father of Cornea and External diseases, as a specialty in the United States the last 50 years, and the father of modern keratoprosthesis and its clinical applications. I had the privilege to train and operate under Dr. Dohlman’s me to ship and supervision at the Massachusetts Eye and Ear Infirmary, Harvard Medical School in Boston and perform subsequently the first Kpro in Europe here in Athens, Greece in 1997. See more

This interesting case illustrates a 22-year-old young gentleman treated with the Athens protocol CXL back in 2014 in his right eye for progressive keratoconus our assessment was that the treatment was extremely successful as in our last follow up the patient in 2018, 4 years postop was enjoying in aided vision close to 20/25, excellent normalization and stability in his left eye! The same data were recently reviewed by a colleague in Northern Greece who for some reason considered the right eye to be a disaster and the left demanding immediate CXL!!! It is not uncommon in my opinion if one does not carefully evaluate all data especially preoperative data to become confused when assessing keratoconus. I hope this case in this discussion helps us understand better the intricate details in diagnosing and treating keratoconus

What is really the objective comparison of topo-guided LASIK vs.Smile? @ LaserVision Ambulatory Eye Surgery Unit

This otherwise "routine" (no procedure is ever routine!!) clear cornea (hard nucleus) cataract phaco procedure completed with an Acrysof-IQ IOL implantation procedure became somehow "exciting" when the bulb from the IOL haptic appeared to get trapped in the posterior capsule following implantation, unfolding and during the final positioning manipulations. Watch how it created a "crease" seen above the IOL margin (surgeons view)-not making this observation has resulted in my previous experience: capsular tear and need for further measures. making this key observation saved the day! Hope you will find this interesting!

Save the date! Honored to share with you our invited participation to share and teach our pioneer customized refractive surgery work. This virtual meeting with participation from colleagues throughout the world is organized this time in China and will take place live on December 5. Our team leads internationally and helps train refractive surgeons globally! Greece at the eye surgery innovation limelight!