Curative ablation of a baso-squamous cell carcinoma of lateral cantus and both eyelids resulted in a complex full-thickness defect of upper and lower eyelids, lateral canthal area, and lateral canthal tendon. The reconstruction of the defect was performed in a single stage using a Y-shape hard palate mucoperiosteal graft and a Y-shape skin flap advanced from the temporal side of the defect on its subcutaneous pedicle. The graft donor site healed spontaneously and the flap donor site was closed primarily. A durable and stable coverage of the defect could be achieved with minimal donor site morbidity.

<P>The authors describe a technique for performing a safe and controlled continuous curvilinear capsulorhexis (CCC) in white cataracts using the contrast-enhancing effect of green light from an endoillumination probe. After attaching a green filter to the endoillumination unit of the vitrectomy set, a CCC was performed under the green light of the endoillumination probe, which was placed on the periphery of the cornea in a manner that followed the tearing edge of the capsulorhexis. This technique may be an alternative to capsular dyes in performing a safe and controlled CCC in white cataracts. [<CITE>Ophthalmic Surg Lasers Imaging</CITE> 2007;38:520-522.]</P> <H4>AUTHORS</H4> <P>From the Department of Ophthalmology, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey.</P> <P>Accepted for publication July 31, 2007.</P> <P>Address correspondence to Tugrul Akin, MD, GATA Haydarpasa Egitim Hastanesi, Goz Hastaliklari Servisi, Tibbiye Caddesi, Uskudar, 34668, Istanbul, Turkey.</P>

The purpose of this study was to evaluate the retinal toxicity of vancomycin and ceftazidime combined into an infusion solution that was intraoculary given after or during vitrectomy. Forty albino rabbits were divided into 4 groups of 10 each. Vitrectomized right eyes of groups 1, 2, and 3 were given recommended doses of vancomycin and ceftazidime alone or combined, while right eyes in the fourth group were vitrectomized using an infusion solution to which was added ceftazidime and vancomycin combination. Toxicity was tested with electroretinography (ERG) and light microscopy. ERG and light microscopy did not show any toxicity signs associated with vancomycin or ceftazidime alone or with combined therapy. Vancomycin and/or ceftazidime can reliably and effectively be used combined in an infusion solution at recommended doses after and during vitrectomy. This treatment modality does not have any toxic effects to retinal structures and is an alternative method to separate injections of the two antimicrobial agents.

<h4>Intraocular Lens Tilt and Decentration After Phacoemulsification Surgery in Patients With and Without Primary Open Angle Glaucoma</h4> <p><b>To the Editor:</b><br> Phacoemulsification and intraocular lens (IOL) implantation is a common procedure that provides fast rehabilitation and excellent visual results. Intraocular lens tilt and decentration after cataract surgery are frequent complications, which cause astigmatism, glare, reflection, halo formation, and visual disability. Although phacoemulsification is the standard procedure for cataract removal, few reports exist regarding the positioning of IOLs implanted in patients with glaucoma after cataract surgery.</p>