Dr. Harshavardhan Ghorpade Ms, Dnb, Frcs(Glasgow), Fico, Fcos

1. Dr Harshavardhan Ghorpade
MS, DNB, FRCS(Glasgow), FICO, FCOS
Fellowship Cornea and Ocular surface, Nottingham, UK and Ghent, Belgium.
Director, DOVS, Fortis Hospital, Vashi, Navi Mumbai
Consultant Cornea and Refractive /Director, Cornea transplant services ,
Director ,Saroj Specialty Eye Clinic, Vashi, Navi Mumbai
Prof. Dr Sunil Moreker, MS
Consultant, Oculoplasty and Glaucoma.
DOVS, Fortis Hospital, Vashi, Navi Mumbai
CPD /CME committee member, International Council of Ophthalmology.

2.  A 25 year old male, case of Primary Congenital
Glaucoma
 Left eye phithisical since childhood
 Right Eye operated for Cataract and Glaucoma
surgery 5 years back
 Complaint of pain, poor vision, watering
 Vision CF 1m

3.  Bullous Keratopathy with haptic touching
endothelium, broad iridectomy
 IOP 32, Optic disc shows pallor 0.7 deep cup
 Vitreous in pupillary area
 Operated for IOL explantation, vitrectomy and
Trabeculectomy with MMC
 Vision improves to 6/60 with +7.0
 IOP 14

4.  Patient has similar complaints
 Vision dropped to 3 m
 BK worsened
 IOP rises to 24
 Kept on Travocom, lubricants
 Planned for PK with Shunt and secondary IOL
 Patient very keen and strong willed

7.  Extremely risky: Possibilities of white out,
expulsion and endoph explained to this one eyed
man
 General anaesthesia
 Flieringa ring
 Host tissue removed, quick implantation of Iris
claw lens avoiding the area of BI
 Donor graft sutured
 Shunt surgery performed with Aadi implant,
 Consolidated with scleral flap and 8-0 Ethilon
 IOL power calculated approx wrt his axial length

11.  Day 21
 Vision 6/60
 IOP 11
 No choroidals
 INR 2.2
 Patient happy but with flashes
 IO examination shows HST!
 Lasered with great effort as cornea has edema
and patient has photophobia and pupil limited
in size by lens

12.  Cornea clear
 IOP 12
 Lens in situ
 AC slightly shallow
 Vision 6/18 BCVA
 Expected to improve further after suture
adjustments and RGP if necessary
 Warfarin dose reduced as patient had purpura