Superior perilimbal epitheliopathy in recurrent corneal erosion syndrome

Rac, Kathrin, Lee, Graham A., & Vincent, Stephen J. (2015) Superior perilimbal epitheliopathy in recurrent corneal erosion syndrome. Cornea, 34(9), pp. 1110-1113.

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To highlight the finding of occult areas of poor epithelial adhesion in the superior perilimbal cornea in a minority of patients with recalcitrant recurrent corneal erosion syndrome presenting with corneal erosion elsewhere on the corneal surface.

Patient population

31 eyes of 31 consecutive patients with corneal erosion undergoing mechanical debridement of the epithelium prior to diamond burr keratectomy for recurrent corneal erosion.


Determine the location and incidence of poor epithelial adhesion distant from the initial erosion by use of mechanical debridement with a dry microsponge.


During debridement, 8 of 31 eyes (25.8%) displayed a large arcuate area of occult dysfunction of adhesion in the superior perilimbal area. None of these patients showed recurrence over a mean of 18 month after diamond burr keratectomy (95% confidence interval 0-36.9%).


Mechanical debridement with a microsponge identified a significant minority of patients with poor adhesion in the superior perilimbal cornea away from the area of obvious erosion and increased the target area for diamond burr keratectomy. This two pronged approach allowed successful management of this group.

Impact and interest:

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ID Code: 85978
Item Type: Journal Article
Refereed: Yes
Keywords: Cornea, Recurrent corneal erosion, Corneal debridement
DOI: 10.1097/ICO.0000000000000545
ISSN: 1536-4798
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > OPTOMETRY AND OPHTHALMOLOGY (111300)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Optometry & Vision Science
Copyright Owner: Copyright 2015 Wolters Kluwer Health, Inc
Copyright Statement: This is a non-final version of an article published in final form in Cornea: September 2015 - Volume 34 - Issue 9 - p 1110–1113, doi: 10.1097/ICO.0000000000000545
Deposited On: 26 Jul 2015 22:27
Last Modified: 15 Oct 2016 10:35

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