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.

View at publisher

Abstract

Purpose

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.

Methods

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

Results

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%).

Conclusion

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:

0 citations in Scopus
Search Google Scholar™

Citation counts are sourced monthly from Scopus and Web of Science® citation databases.

These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.

Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.

Full-text downloads:

5 since deposited on 26 Jul 2015
1 in the past twelve months

Full-text downloads displays the total number of times this work’s files (e.g., a PDF) have been downloaded from QUT ePrints as well as the number of downloads in the previous 365 days. The count includes downloads for all files if a work has more than one.

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

Export: EndNote | Dublin Core | BibTeX

Repository Staff Only: item control page