The authors recommend avoiding the thin rectangular portion located in the inter-fissural area adjacent to the superior orbital fissure. A high intersubject variability underscores the need for individualized preoperative analysis by imaging studies.
PurposeTo report a keratoconus case with bilateral horizontal Vogt’s striae.MethodThe clinical findings of the patient and the development of the direction of striae are discussed.ResultsVogt’s striae, defined as vertical stress lines, are rarely horizontal. One patient with unilateral horizontal stress lines on his left eye has been reported in the literature. Our patient has horizontal Vogt’s striae in both eyes.ConclusionHorizontal Vogt’s striae may be seen in keratoconus as a rare slit-lamp biomicroscopic finding.
Abstract. A rare side effect of betamethasone applied subconjunctivally is described. A 51 -year-old man who had undergone penetrating keratoplasty in his left eye 2 months previously developed graft rejection and was treated by subconjunctival injection of betamethasone. Within 2 weeks, the patient complained of conjunctival hyperemia and irritation. Biomicroscopic examination revealed conjunctival and subconjunctival necrosis with white necrotic tissue at the subconjunctival corticosteroid injection site. Simple debridement and primary wound closure of the involved area resulted in complete healing. Ophthalmologists should be aware that subconjunctival injection of betamethasone may cause conjunctival necrosis. [Ophthalmic Surg Lasers Imaging 2005;36:348-349.]
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