1. Annular Keratotomy for the Treatment of Painful Bullous Keratopathy
- Author
-
Steven B. Koenig
- Subjects
Male ,medicine.medical_specialty ,Visual acuity ,genetic structures ,Eye disease ,Visual Acuity ,Pain ,Cornea ,Managing pain ,Ophthalmology ,Humans ,Medicine ,Local anesthesia ,Anesthetics, Local ,Corneal stromal edema ,Aged ,Keratotomy, Radial ,Aged, 80 and over ,business.industry ,Corneal Edema ,Cornea edema ,Middle Aged ,medicine.disease ,eye diseases ,Surgery ,medicine.anatomical_structure ,Bullous keratopathy ,Female ,sense organs ,medicine.symptom ,business - Abstract
Purpose To determine whether annular keratotomy can relieve pain associated with bullous keratopathy. Methods Three patients with painful bullous keratopathy and poor visual potential underwent partial-thickness (0.30 to 0.42 mm) trephination of the cornea under local anesthesia. Results All patients reported an absence of pain and foreign body sensation during an average follow-up interval of six months. The surgical procedure was uncomplicated; however, two eyes developed increased central corneal stromal edema. Conclusions Annular keratotomy appears to be a relatively safe and simple surgical procedure that may be useful in managing pain in eyes with painful cornea edema and poor visual potential.
- Published
- 1996