This healthy 43YO male fighter pilot developed a complex corneal laceration in his left eye. Despite multiple surgical procedures, he was left with an opaque cornea and an inability to fly due to the lack of normal binocular vision. Full-thickness eyewall transplantation from his normal left posterior segment into his right temporal posterior segment was therefore performed.
Intraoperatively, the dyslexic surgeon inadvertently inverted the allograft, resulting in the donor graft being inverted 180 degrees vertically. Optos color RGB imaging shows the donor nerve and macula in the right superotemporal midperiphery. Note that the disc should have been placed temporal to the donor macula, not nasal. Although surgically successful, this left the patient with monocular diplopia instead of the desired monocular binocular stereopsis. He remains grounded, and his case is still mired in litigation.
And happy April Fool’s Day!
