Descemet stripping automated endothelial keratoplasty (DSAEK): Descemet stripping automated endothelial keratoplasty (DSAEK) is an endothelial replacement procedure in which dysfunctional corneal endothelium is replaced with a graft consisting of donor endothelium and a thin layer of posterior stroma to facilitate handling of the tissue. This case was performed for severe corneal edema secondary to pseudophakic bullous keratopathy.
Extraction of Intumescent Traumatic Cataract with Capsular Violation: This patient underwent repair of a traumatic corneoscleral laceration 1 month prior to this cataract surgery. The anterior capsule was violated in his initial trauma resulting in the formation of an intumescent traumatic cataract and dramatic shallowing of the anterior chamber. The traumatic anterior capsular tear extended behind the iris in the area of limited visualization beneath his corneal laceration. It was decided to perform a vitrectorhexis and remove the soft nuclear material using a combination of the anterior vitrector and the irrigation and aspiration handpiece. A 3-piece MA50BM intraocular lens implant was successfully placed in the ciliary sulcus.
Melanocytoma of the Iris and Ciliary Body: 14-year-old male with a pigmented iris lesion of the left eye noticed on routine eye exam approximately two years earlier. Higher power magnification showed elevation of lesion with mildly irregular surface without surface vessels and the iris central to the lesion pushed into folds.