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Femtosecond laser-assisted intracorneal biopolymer insertion for the symptomatic treatment of bullous keratopathy.
- Source :
-
Cornea [Cornea] 2014 May; Vol. 33 (5), pp. 540-3. - Publication Year :
- 2014
-
Abstract
- Purpose: To describe a new minimally invasive surgical technique for the symptomatic management of bullous keratopathy in blind eyes.<br />Methods: 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.<br />Results: 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.<br />Conclusions: Intracorneal insertion of silicone oil is a feasible new technique for the symptomatic treatment of bullous keratopathy in blind eyes.
- Subjects :
- Aged
Aged, 80 and over
Chronic Disease
Corneal Stroma drug effects
Female
Glaucoma, Angle-Closure complications
Glaucoma, Open-Angle complications
Humans
Male
Minimally Invasive Surgical Procedures
Tomography, Optical Coherence
Blister therapy
Corneal Edema therapy
Corneal Stroma surgery
Laser Therapy
Silicone Oils administration & dosage
Surgical Flaps
Subjects
Details
- Language :
- English
- ISSN :
- 1536-4798
- Volume :
- 33
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Cornea
- Publication Type :
- Academic Journal
- Accession number :
- 24619170
- Full Text :
- https://doi.org/10.1097/ICO.0000000000000081