Femtosecond Laser-Assisted Membranectomy of Retained Host's Descemet's Membrane Postpenetrating Keratoplasty.

We report the two cases in which femtosecond laser (FSL) technology used to manage visually significant retained host's Descemet's membrane (RHDM) after penetrating keratoplasty (PKP). FSL-assisted descemetorhexis was done first, then membrane removal with intraocular forceps. Both patients had advanced keratoconus and were managed with PKP. In the first patient, FSL descemetorhexis of RHDM was incomplete. It was augmented manually, and then, the removal of the retained membrane was done with an intraocular forceps, whereas, a complete and central 5.5 mm FSL descemetorhexis was created in the second case. Then, it was pulled out with intraocular forceps. Postoperatively, the best-corrected visual acuity was 20/40, with an intraocular pressure (IOP) of 18 mmHg. In the second case, best-corrected visual acuity and IOP were 20/70 and 16 mmHg, respectively. In conclusion, FSL technology can be an alternative to manual or neodymiumdoped yttrium - aluminum garnet membranotomy for the management of RHDM after PKP.

Reasons for unplanned pediatric readmissions at a referral eye center in the Middle East.

Unplanned hospital readmissions are of major interest for health care quality control across all medical subspecialties; however, published data for pediatric ophthalmology are lacking. We reviewed the most common reasons for unplanned pediatric readmissions within 30 days of discharge at a referral eye center in the Middle East. Of the top 5 reasons, 3 were related to problems following corneal suturing, often in the context of penetrating keratoplasty, highlighting that children for whom this is done require particular care and follow-up.