Blossoming vision: unusual donor tissue configuration in a jaundiced cornea tissueA patient underwent a left phacoemulsification, intra-ocular lens (IOL) insertion, and Descemet membrane endothelial keratoplasty (DMEK). The donor tissue had excellent endothelial cell count and was compliant with regulatory screening protocols. The donor patient died from hepatic failure and was noted to be severely jaundiced, consistent with the diffuse yellow tinge found in the corneal stroma. A standard 8 mm DMEK peeling was initiated uneventfully, with the tissue being more robust and stiffer than normal.
Insidious transpalpebral fistula secondary to scleral buckleA 78-year old man was referred to the emergency eye clinic with a 3-month history of pain, discharge, and redness from the right upper eyelid. He had attended the ophthalmic emergency department 7 times in the past year, having been diagnosed with recurrent infective conjunctivitis. He had a history of right retinal detachment surgery that was repaired with scleral buckle and cryotherapy over 10 years ago with subsequent vitrectomy and silicone oil insertion. Of note, the scleral buckle was left in situ at the time of his second operation.