Sutureless intrascleral IOLs corrected posttraumatic aphakia. The SIA was comparable between groups. This procedure should be considered after trauma when other implantation techniques are not possible.

Purpose: We describe the first case of a novel surgical technique of mini-invasive corneal neurotization (MICORNE) using the lateral antebrachial cutaneous nerve as a graft nerve and the contralateral supraorbital nerve as a donor nerve in a herpetic patient with a neurotrophic keratopathy (NK). Methods: A MICORNE procedure was performed in a 32-year-old man with a 5-year history of herpes simplex virus (HSV)-related NK in the right eye (RE). Visual acuity and corneal sensation were assessed over 9 months of follow-up. HSV-1 and HSV-2 genomes were screened preoperatively and postoperatively in the patient's tears using the quantitative polymerase chain reaction technique. A high does of the oral antiviral prophylaxis was prescribed during the follow-up. Results: Preoperative best-corrected visual acuity was 20/200 in the RE. A Cochet–Bonnet esthesiometer revealed complete corneal anesthesia (<5 mm ie, >15.9 g/mm2) in all quadrants in a scarred and neovascularized cornea. Twelve months after the procedure, the visual acuity of the RE was 20/80 and corneal sensitivity had increased to 40 mm, that is, 0.8 g/mm2 (superior quadrant), 35 mm, that is, 1 g/mm2 (inferior quadrant), 40 mm (temporal quadrant), 35 mm, that is, 1 g/mm2 (nasal quadrant), and 40 mm (centrally). We observed no clinical recurrence of herpes, and HSV was not detected in tears during the follow-up period. Conclusions: We report the first case of MICORNE, a novel surgical technique of corneal neurotization in a herpetic patient with NK. Despite the potential risk of viral recurrence, our patient showed dramatic improvement in corneal sensation and visual acuity.

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Purpose: Although the Cochet-Bonnet esthesiometer (CBE) measures corneal sensitivity, it has heretofore only been tested on the index pulp. Tactile skin sensitivity thresholds are measured with Semmes-Weinstein monofilaments (SWM). This study measured skin sensitivity thresholds in healthy individuals using CBE and SWM, and compared both instruments in territories involved in corneal neurotization. Methods: Overall, 27 healthy individuals were tested by a single examiner at 9 territories on the face, neck, forearm, and leg, using 20-thread SWM and CBE with a diameter of 0.12 mm. Both sides were tested. Thresholds were compared for both instruments and between the different territories using Bayesian methods. Results: Mean sensitivity levels for SWM ranged from 0.010 to 1.128 g, while mean sensitivity levels for CBE ranged from 0.006 to 0.122 g. Thresholds measured with SWM were significantly higher than with CBE. Both instruments demonstrated higher thresholds in the leg territory than the forearm. However, the forearm presented higher thresholds than the head territories. No significant differences were found between the head territories themselves. Overall, right-side territories exhibited lower thresholds than left-side territories. Conclusions: We have reported the first mapping of skin sensitivity thresholds using CBE. Thresholds measured with CBE and SWM were coherent. The use of CBE on the skin is particularly relevant to the field of corneal neurotization.

Purpose The management of pediatric cataract is a therapeutic challenge. The aim of our study was to assess the potential benefits of the multifocal and toric lens implantation in the children depending on the age. The previous results of multifocal IOL in the child are encouraging but are derived from analyzes of children over 4 years. The toric implantation in the childhood was never studied. Methods In this retrospective non‐randomized monocentric study, children with bilateral and unilateral cataract between 0 and 9 years with a visual acuity less than 0,3logMAR were implanted with multifocal IOL (or with a toric IOL when the corneal astigmatism was higher than 2 dioptries). Outcome measures of best corrected visual acuity (BCVA) for distance, distance‐corrected near visual acuity (DCNVA), contrast sensitivity, stereopsis and total astigmatism were analysed with the Student test in 2 age groups : less than 4 years (group 1) and more than 4 years (group 2). Results 21 eyes of 16 children (mean age 5,05 years, from 9 months to 9 years) were included in the multifocal study, 3 eyes of 2 children were included in the toric study. Group 1 included 5 eyes (4 children), group 2 included 13 eyes (10 children). Both groups showed significant improvement in BCVA at one year follow‐up. Stereopsis was better in group 2 with unilateral implantation. The improvement of the DCNVA was significantly better in group 2 with unilateral implantation (0,38 logMAR, p<0,05). The total astigmatism, the BCVA and DCNVA were improved with a toric implantation, the stereopsis was similar. Conclusion Multifocal IOL implantation is a viable option for the children more than four years with unilateral cataract. The toric implantation analysis needs further results.