Femtosecond laser-assisted intracorneal biopolymer insertion for the symptomatic treatment of bullous keratopathy.
Details
Serval ID
serval:BIB_CD75D4BC86D3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Femtosecond laser-assisted intracorneal biopolymer insertion for the symptomatic treatment of bullous keratopathy.
Journal
Cornea
ISSN
1536-4798 (Electronic)
ISSN-L
0277-3740
Publication state
Published
Issued date
05/2014
Peer-reviewed
Oui
Volume
33
Number
5
Pages
540-543
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
To describe a new minimally invasive surgical technique for the symptomatic management of bullous keratopathy in blind eyes.
Four patients with severe corneal edema due to endothelial decompensation and no visual function in the affected eye presented for the relief of their ocular symptoms (pain and tearing). Femtosecond laser technology was used to create a deep corneal pocket into which silicone oil was inserted.
After the procedure, all patients demonstrated immediate relief of their symptoms, along with restoration of a normal corneal surface 7 days after the procedure (no bullae and no epithelial defects). All patients remained free of symptoms during the entire follow-up period (from 24 to 31 months). Anterior to the inserted implant, the corneal lamellae remained compact, transparent, and without bullae; whereas the posterior corneal stroma under the implant was edematous. No intraoperative or postoperative complications were noted.
Intracorneal insertion of silicone oil is a feasible new technique for the symptomatic treatment of bullous keratopathy in blind eyes.
Four patients with severe corneal edema due to endothelial decompensation and no visual function in the affected eye presented for the relief of their ocular symptoms (pain and tearing). Femtosecond laser technology was used to create a deep corneal pocket into which silicone oil was inserted.
After the procedure, all patients demonstrated immediate relief of their symptoms, along with restoration of a normal corneal surface 7 days after the procedure (no bullae and no epithelial defects). All patients remained free of symptoms during the entire follow-up period (from 24 to 31 months). Anterior to the inserted implant, the corneal lamellae remained compact, transparent, and without bullae; whereas the posterior corneal stroma under the implant was edematous. No intraoperative or postoperative complications were noted.
Intracorneal insertion of silicone oil is a feasible new technique for the symptomatic treatment of bullous keratopathy in blind eyes.
Keywords
Aged, Aged, 80 and over, Blister/therapy, Chronic Disease, Corneal Edema/therapy, Corneal Stroma/drug effects, Corneal Stroma/surgery, Female, Glaucoma, Angle-Closure/complications, Glaucoma, Open-Angle/complications, Humans, Laser Therapy, Male, Minimally Invasive Surgical Procedures, Silicone Oils/administration & dosage, Surgical Flaps, Tomography, Optical Coherence
Pubmed
Web of science
Create date
01/10/2019 13:47
Last modification date
06/10/2019 6:26
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