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Purpose: To report a case of herpes simplex keratitis after descemet stripping automated endothelial keratoplasty (DSAEK). Case summary: A 66-year-old male underwent DSAEK in his right eye due to bullous keratopathy after cataract surgery.The corneal epithelium which was removed during surgery was healed, but the patient was experiencing pain and decreased visual acuity in his right eye 1 month after surgery. Increasing corneal epithelial defects and corneal edema were observed on slit-lamp examination. Therapeutic soft contact lenses and artificial tears were used for treatment but were not effective, thus amniotic membrane transplantation was performed. Three months after transplantation, the epithelial defect appeared as a geographic ulcer suspecting to be herpes simplex keratitis; therefore, ganciclovir ophthalmic ointment and oral acyclovir were administered. Six months after antiviral therapy, the epithelial lesion of herpes simplex keratitis completely disappeared, leaving only mild corneal opacity. Conclusions: If corneal epithelial defects are persistent after DSAEK in patients even with no past history of herpes simplex keratitis, herpes simplex keratitis should be considered in the differential diagnosis. J Korean Ophthalmol Soc 2012;53(3):473-477

The purpose of this study was to compare the clinical results between 2.2 mm micro-coaxial cataract surgery (MCCS) and 2.8 mm small incision cataract surgery (SICS). Seventy-five patients (75 eyes) were divided into the MCCS (33 eyes) and SICS (42 eyes) groups. AcrySof IQ intraocular lenses were implanted into all patients. Effective phacoemulsification time, CDE (cumulative dissipated energy), and total amount of balanced salt solution (BSS) during cataract surgery were measured in the two groups. Visual acuity, spherical equivalent, intraocular pressure (IOP), endothelial cell count, corneal thickness, and surgically induced astigmatism (SIA) were analyzed preoperatively and postoperatively at 1 week, 1 month, 3 months, and 6 months. There were no statistically significant differences in effective phacoemulsification time, CDE, amount of BSS, visual acuity, spherical equivalent, IOP, endothelial cell count and corneal thickness, or SIA between the two groups. In conclusion, the clinical results of the 2.2 mm MCCS group and 2.8 mm SICS group revealed no significant differences.

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