Anterior Segment
Professor Jonathan Moore FRCOphth PhD
Professor Jonathan Moore is one of the world’s most respected practitioners in the field of laser, cataract and other intra-ocular eye surgery and has personally completed over 5,000 treatments. He has published numerous scientific papers on laser eye surgery in internationally recognised medical journals and has also been interviewed by BBC News and other international media.
Anterior Segment Case - Cornea
A 65 year old man presents to his optometrist in Kerry complaining of reduced visual acuity. The optometrist checks his aided visual acuity and finds that with the glasses he prescribed 2 years ago the man can now only see 6/12 best corrected where previously he could see 6/6.
A) Have you been to one of the multiples for refractive surgery?
B) Is the family history of eye disease?
C) Do you have glaucoma?
B is a good question to ask it is general and enables the patient to contribute meaningfully if they have valuable knowledge about any family eye condition
Refraction demonstrates a marked increase of 4 dioptres of against the rule astigmatism in both eyes.
Management- usually these function well with glasses – if gets very thin can perforate from mild trauma
May require a lamellar tectonic graft or even a penetrating graft- it is always better if possible to avoid penetrating grafts.
