CASIA2 in Cataract Surgery: From Preoperative Planning to Postoperative Confirmation

This case illustrates how CASIA2 can contribute to a high-quality cataract surgery workflow, not only by supporting preoperative assessment and IOL planning.

• Felix Gonzalez-Lopez MD, PhD

Post-ACXL Corneal Edema in Advanced Keratoconus

Following ACXL, the patient presented with visible stromal edema and Descemet’s membrane folds. CASIA2 tracked the healing process over nine months.

• Farzona Abdurakhimova, MD
• Dr. Khabibullaeva Nigora Khusanovna

Postoperative Angle Closure After Pars-Plana Vitrectomy in Pseudophakic Eye

A complete angle closure developed on the second day after pars-plana vitrectomy. CASIA2 documented how conservative treatment resolved it.

• Dr. Clemens Kaindlstorfer, FEBO
• Dr. Aron Roman Czapek

CASIA2 for Measuring the Ciliary Sulcus in Order to Determine the Size of an Accommodating Intraocular Lens

The Lumina accommodating lens is custom-made for each eye, so the ciliary sulcus has to be measured precisely. CASIA2 does it directly.

• Prof. Dr. Timo Eppig
• Dr. Eckhard Becker
• Violetta Müller

LAPR (Laser Presbyopia Reversal)

Erbium laser effects of radial cuts into the scleral tissue to reduce ocular bio­mechanics and rigidity to restore the accommodation in a presbyopic patient.

• Dr. Luca Gualdi

Vogt Koianagi Harada

Anterior segment manifestation of a Vogt Koianagi Harada uveitis. The early diagnosis was made thanks to the AS-OCT CASIA2 image.

• Dr. Luca Gualdi

Cyst at the Limbus

In this case of stem cell deficiency, cysts occurred on both eyes at the area of the limbus. With the CASIA2 it was possible to observe corneal changes and measure the size and shape of the cysts from different angles.

• Priv. Doz. Dr. Nino Hirnschall, PhD FEBO, MhBA
• Christopher Reischl BSc.

Repeatedly Operated Eye

Multiple surgeries were performed in the past including a traumatic cataract surgery without lens implantation in the 1950s, an anterior chamber IOL + removal, and several perforating keratoplasties due to severe herpetic infections.

• Priv. Doz. Dr. Nino Hirnschall, PhD FEBO, MhBA
• Christopher Reischl BSc.

Descemet’s Membrane Detachment (Pre-Op and Post-Op)

Patient had complicated cataract surgery with a small Descemet’s membrane scroll intraoperatively. The patient was seen two days postoperatively and the cornea. The CASIA2 OCT demonstrated a clear Descemet’s membrane detachment.

• William Kay
• Ayan Abdullahi
• Madyan Qureshi

Posterior Polar Cataract – Capsular Involvement

Patient was assessed in the cataract preoperative clinic with bilateral posterior polar cataracts. CASIA2 OCT scan revealed significant capsular involvement.

• William Kay
• Ayan Abdullahi
• Madyan Qureshi

Subluxed Lens and Vitreous Prolapse Following Trauma

The patient had blunt force trauma resulting in traumatic mydriasis, zonular trauma, subluxed lens, and vitreous prolapse into the anterior chamber.

• William Kay
• Ayan Abdullahi
• Madyan Qureshi

The First Asymmetric Ring AS6-300/150° Implantation in Keratoconus

The asymmetrical ring causes a targeted flattening of the cornea, improves axial asymmetry and thereby achieves good functional and topographical results.

• Pr. As. Merieme Harouch

Assessing ESNOPER V2000 Implant Permeability

Glaucoma implants serve to drain the aqueous humor in order to reduce intraocular pressure. These implants must therefore be permeable and effective.

• Dr. Carlos Gutiérrez

Evaluating Preserflo® Implant Efficiency

In devices used for the treatment of glaucoma, such as the Preserflo© implant, it is important to verify its position, depth, and effectiveness in reducing intraocular pressure through filtration.

• Dr. Carlos Gutiérrez

Prolonged Toxic Anterior Segment Syndrome

A 74-year-old woman developed acute visual deterioration 10 days after uncomplicated cataract surgery. Slit-lamp examination revealed severe anterior chamber inflammation and a fibrin membrane obscuring the fundus and implanted IOL.

• Dr. Sophia Reifeltshammer, MD
• Dr. Klaus Straßmair, MD

Iris Incarceration Following Difficult Cataract Surgery

A 65-year-old female presented for a routine visit to our clinic three weeks after cataract surgery. During the slit-lamp examination, an iris incarceration was observed at the paracenteses at the 10 o’clock position.

• Dr. Sophia Reifeltshammer, MD
• Dr. Klaus Straßmair, MD

Re-rotation of a Toric IOL

A 65-year-old female patient underwent uncomplicated cataract surgery and received a toric intraocular lens to correct her pre-existing corneal astigmatism. At the follow-up examination one week after surgery, the patient had a residual astigmatism of -3.50 D.

• Dr. Sophia Reifeltshammer, MD
• Dr. Klaus Straßmair, MD

Preserflo® Microshunt* Glaucoma Surgery (Post-op 4 weeks)

With CASIA2 it is possible to identify the presence of fluid spreading out through the tissues, leading to multilayered conjunctiva.

• Ignacio Rodriguez-Una MD, PhD

Non-penetrating Deep Sclerectomy (NPDS): Post-op 3 months and Post-op 1 week

CASIA2 enables high-resolution visualisation of various non-absorbable NPDS implants and provides precise information on their position, the scleral pocket and the outflow of aqueous humour.

• Ignacio Rodriguez-Una MD, PhD

XEN® Gel Stent* Glaucoma Surgery (Post-op 2 years)

After a subconjunctival bleb-forming surgery, it is important to assess the exact location of the implanted device and its relation to the different ocular structures.

• Ignacio Rodriguez-Una MD, PhD

Post-DSAEK Complications and Cataract Surgery in Fuchs’ Dystrophy

A patient with bilateral Fuchs’ dystrophy developed ocular hypertension following a DSAEK in the right eye, caused by misdirection syndrome, which necessitated a pars plana Vitrectomy with Goniosynechiolysis.

• Dr. Pau Romera

Advanced Imaging of Preserflo Microshunt in Uveitic Glaucoma Treatment

This is a 50-year-old male patient who had a history of uveitic glaucoma in his left eye, with previous Non-Penetrating Deep Sclerectomy surgery.

• Dr. Pau Romera

Long-term Success of Esnoper Clip Sclerectomy in Chronic Glaucoma

This is an 80-year-old woman with chronic open-angle glaucoma with poor pressure control despite maximum pharmacological treatment.

• Dr. Pau Romera

PTK for Treatment of Foreign Body-Related Scarring

This case involves a 47-year-old male patient who presented with blurred vision and glare due to a central corneal scar following the removal of a metal foreign body.

• Dr. Teresa Sandmayr, FEBO
• Dr. Aron Roman Czapek

Iatrogenic Injury of the Lens Capsule

An 80-year-old woman presented with worsening vision five days after an intravitreal anti-vascular endothelial growth factor injection for age-related macular ­neovascularisation.

• Dr. Stephan Szegedi

Pupillary Block Caused by Phakic Intraocular Lens

A 53-year-old man was referred for evaluation following a five-day history of intermittent pressure sensation and vision loss in the left eye.

• Dr. Stephan Szegedi

Management of Capsular Bag Phimosis

A 63-year-old woman was referred for laser capsulotomy for capsular phimosis diagnosed three months after uneventful bilateral cataract surgery.

• Dr. Stephan Szegedi

Peters Anomaly

This CASIA2 OCT tomographic image shows a case of a 58-year-old patient with unilateral Peters Anomaly.

• Ana Trpeska Boshkoska MD

Phacolytic Glaucoma

With CASIA2, the presence of lens proteins and protein-containing macrophages in the anterior chamber is easily noticeable, as in this case of a patient with a ­phacolytic glaucoma.

• Ana Trpeska Boshkoska MD

AC-IOL and Peripheral Iridectomy Not Functioning

Following cataract surgery involving the implantation of an AS-IOL, an iris bomb developed despite a peripheral iridectomy, accompanied by increased intraocular pressure, anterior displacement of the IOL and consequent Corneal edema.

• Ana Trpeska Boshkoska MD

Descemet’s Detachment – Rare Post-NPGS Complication

A 65-year-old patient underwent deep sclerectomy – non-penetrating glaucoma surgery (NPGS) – for glaucoma five years ago. The IOP was maintained at levels between 11-13 mmHg during this time.

• Dr. Jorge Vila Arteaga

Post-Surgery Corneal Edema and Athalamia in Glaucoma

A 45-year-old woman underwent phakic anterior chamber lens surgery 23 years ago. She develops glaucoma and undergoes a trabeculectomy. The day after ­surgery the chamber is wide, the IOP is 5 mmHg.

• Dr. Jorge Vila Arteaga

Macular Corneal Dystrophy

A 45-year-old female patient with a significant family history of macular dystrophy presented with complaints of reduced vision.

• Prof. Adam Wylęgała

Pellucid Marginal Degeneration

A 74-year-old female patient presented with gradually decreasing vision, particularly in her right eye, with notable difficulties at night and an increase in astigmatism that her regular glasses no longer corrected adequately.

• Prof. Adam Wylęgała

Visualisation of Dual Intraocular Lenses Using CASIA2 Anterior Segment OCT

A patient with high myopia and an extremely long axial length underwent refractive lens exchange with implantation of two intraocular lenses within the capsular bag.

• Azamat Farkhadovich Yusupov, MD, DSc, Professor
• Ikbol Fazilovich Saliev, MD, PhD
• Farzona Abdurakhimova, MD

apEye: Artificial prosthetic eyes

The CASIA2 apEye software enables a fully digital workflow for the 3D production of ocular prostheses. The process is simple, efficient and pain-free for patients.