Epithelial map-guided anterior stromal micropuncture for the treatment of recurrent corneal erosion syndrome.

Détails

ID Serval
serval:BIB_E50A73E28781
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Editorial
Collection
Publications
Institution
Titre
Epithelial map-guided anterior stromal micropuncture for the treatment of recurrent corneal erosion syndrome.
Périodique
International ophthalmology
Auteur(s)
Oikonomakis K., Petrelli M., Petrovic A., Andreanos K., Droutsas K., Georgalas I., Kymionis G.
ISSN
1573-2630 (Electronic)
ISSN-L
0165-5701
Statut éditorial
Publié
Date de publication
04/2019
Peer-reviewed
Oui
Volume
39
Numéro
4
Pages
943-948
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Résumé
To introduce the use of corneal epithelial mapping by anterior segment optical coherence tomography (AS-OCT) as an ancillary testing for the identification of areas of loose epithelial adherence in recurrent corneal erosion syndrome (RCES), and the subsequent treatment of the latter with anterior stromal puncture (ASP).
Five patients were presented with RCES following traumatic corneal abrasions. Following resolution of acute episodes, AS-OCT epithelial mapping was performed revealing in all patients an area of increased epithelial thickness (hot spot) corresponding to the site of loose attachment of the epithelium to the epithelial basement membrane. ASP to the area of epithelial thickening, as delineated by the epithelial map, was performed.
To date, none of the patients has shown any signs of disease recurrence over a period ranging from 6 to 20 months following the application of epithelial map-guided ASP.
AS-OCT epithelial mapping can reveal the exact area of loose epithelial adherence in RCES. Hence, epithelial mapping can delineate the target area for treatment with ASP and may decrease the high failure rates of ASP.
Mots-clé
Adult, Anterior Eye Segment/diagnostic imaging, Anterior Eye Segment/surgery, Corneal Dystrophies, Hereditary/surgery, Corneal Stroma/diagnostic imaging, Corneal Stroma/surgery, Epithelium, Corneal/diagnostic imaging, Epithelium, Corneal/surgery, Female, Humans, Male, Middle Aged, Ophthalmologic Surgical Procedures/methods, Punctures, Tomography, Optical Coherence/methods, Anterior segment optical coherence tomography (AS-OCT), Anterior stromal puncture (ASP), Corneal epithelial mapping, Recurrent corneal erosion syndrome (RCES)
Pubmed
Web of science
Création de la notice
22/03/2018 17:50
Dernière modification de la notice
20/08/2019 16:08
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