Dr. Bhupesh P Jain

Cornea consultant , Laxmi Eye Institute

2 articles

Dr. Bhupesh Jain is a medicine graduate from Dr. Punjabrao Deshmukh Medical College and Postgraduate (DNB) from Mumbai. He has done his long-term advanced clinical training in Cornea and Ocular surface from Aravind Eye Hospital, Madurai. He is currently working as a Cornea consultant at Laxmi Eye Institute. Hes keen interest in keratoplasties, ocular infections/immunology and surface disorders.

  1. Articles 15 Jun 2021 23 min read

    Complications of Penetrating Keratoplasty

    Penetrating keratoplasty (PK) is a procedure in which full-thickness host corneal tissue is replaced with donor corneal tissue. Objectives of PK maybe Optical-to establish a clear visual axis or to minimize refractive error in severely distorted corneas Tectonic-to provide structural integrity Therapeutic-to eliminate infection Occasionally for cosmoses Complications of PK may be divided as intraoperative, early postoperative, and late postoperative. Intra-operative complications: Intra-operative complications may occur at each step of the surgery. These complications can be avoided with meticulous pre-operative planning and careful attention at each step. 1. Anaesthesia: In the case of the retrobulbar or peri-bulbar block (1), globe perforation may occur. A meticulous pre-operative assessment could avoid this complication as eyes with a posterior staphyloma possess a higher risk of perforation. A retrobulbar block may cause scleral perforation, orbital hemorrhage, optic nerve trauma,

  2. Articles 1 Apr 2021 23 min read

    Therapeutic Keratoplasty : A Comprehensive Review

    Microbial keratitis is a common vision-threatening disease that occurs in all parts of the world and is an important cause of avoidable corneal blindness. Medical therapy is considered a mainstay in the management of microbial keratitis, however, cases that worsen despite medical therapy or have perforation require surgical management1. Therapeutic keratoplasty is a surgical procedure whose primary purpose is to get rid of the infectious or non-infectious inflammatory tissue along with the restoration of the structural integrity of the eye (tectonic support)2. The surgical procedure, postoperative course, and chances of graft survival in therapeutic keratoplasty are different from optical keratoplasty as surgery is performed on an inflamed eye. Therapeutic keratoplasty could be Therapeutic Penetrating Keratoplasty(ThPK) Therapeutic lamellar keratoplasty- Deep Anterior Lamellar Keratoplasty(Th-DALK) Patch graft In therapeutic penetrating keratoplasty, a full-thickness button of the dise