Femtosecond-assisted diagnostic corneal biopsy (FAB) in keratitis.

Détails

ID Serval
serval:BIB_5BE3730CC7DF
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Femtosecond-assisted diagnostic corneal biopsy (FAB) in keratitis.
Périodique
Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie
Auteur(s)
Yoo S.H., Kymionis G.D., O'Brien T.P., Ide T., Culbertson W., Alfonso E.C.
ISSN
0721-832X (Print)
ISSN-L
0721-832X
Statut éditorial
Publié
Date de publication
05/2008
Peer-reviewed
Oui
Volume
246
Numéro
5
Pages
759-762
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Résumé
Femtosecond laser technology (IntraLase, Irvine, CA, USA) has been introduced in corneal surgery, opening a new frontier and providing a new surgical modality. The purpose of this study is to present a series of patients with keratitis after Femtosecond-assisted diagnostic corneal biopsies (FAB).
Four patients with progressive keratitis--despite intensive broad-spectrum topical antimicrobial therapy, or progressive stromal infiltration inaccessible to corneal scrapings--underwent femtosecond-assisted diagnostic corneal biopsy. A corneal specimen was obtained using the Femtosecond laser (IntraLase), including both clinically infected and adjacent non-infected clear corneal tissue. A combination of lamellar and keratoplasty treatment parameters were used.
Corneal specimens of 3 mm diameter and 120 to 200 microm thickness were obtained in all patients. No intra- or early post-operative complications related to the procedure were found. In all patients, adequate specimens were submitted for cultures, smears, and permanent section staining.
In this small case series of patients with undiagnosed keratitis, femtosecond-assisted diagnostic corneal biopsy (FAB) obtained adequate specimens without intra- or early post-operative complications, related to the procedure.
Mots-clé
Acanthamoeba Keratitis/diagnosis, Acanthamoeba Keratitis/drug therapy, Acanthamoeba Keratitis/parasitology, Adolescent, Aged, Antifungal Agents/therapeutic use, Antiprotozoal Agents/therapeutic use, Biopsy/methods, Cornea/microbiology, Cornea/parasitology, Cornea/pathology, Corneal Surgery, Laser/methods, Corneal Ulcer/diagnosis, Corneal Ulcer/drug therapy, Corneal Ulcer/microbiology, Eye Infections, Fungal/diagnosis, Eye Infections, Fungal/drug therapy, Eye Infections, Fungal/microbiology, Female, Humans, Male, Microsporidia/isolation & purification, Microsporidiosis/diagnosis, Microsporidiosis/drug therapy, Microsporidiosis/microbiology, Middle Aged
Pubmed
Web of science
Création de la notice
02/10/2019 8:52
Dernière modification de la notice
06/10/2019 5:26
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