Penetrating Keratoplasty Following Superficial Keratectomy, Amniotic Membrane Patch and Bandage Soft Contact Lenses in Band and Pseudophakic Bullous Keratopathy
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Penetrating keratoplasty, Superficial keratectomy, Amniotic membrane patch, Bandage soft contact lenses, Band and pseudophakic bullous keratopathy
Abstract
Introduction: Band keratopathy is usually associated with chronic ocular inflammatory conditions. Recent use of combination treatments such as chelation,excimer laser,and amniotic membrane transplantation in band keratopathy management. Bullous keratopathy (BK) is a main complication of cataract surgery.The purpose of treatment are to reduce pain and improve vision when possible. Treatment depending on the severity of symptoms,cause of BK and potential for visual improvement. BK is a leading indication for keratoplasty and improvement of vision is possible only with keratoplasty.
Objective: To report a case of a 64-year-old man with penetrating keratoplasty (PK) following superficial keratectomy (SK), amniotic membrane patch (AMP) and bandage soft contact lenses (BSCL) in band and pseudophakic bullous keratopathy.
Case presentation: A 64-year-old man with band and pseudophakic bullous keratopathyreported with reduced vision in both the eyes (1/300 and 6/48 BCVA in the right and left eye, respectively) for past few years.SK, AMP and BSCLwas performed for ocular surface reconstruction in his right eye. One month later, he underwent a PK and3 months following surgery, the corneal graft remained transparent. Six months after the surgery, BCVA of the right eye was 6/30 with S - 3,00 refractive correction.
Conclusion: Patients with band and pseudophakic bullous keratopathy can achieve visual outcomes and realise a significant improvement in corneal transparency by undergoing SK, AMP, BSCL and PK.
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References
Yi DH, Dana MR. Corneal edema after cataract surgery: incidence and etiology. SeminOphthal 2002; 17(3–4): 110–114.
Kansky JJ, Bowling B. Clinical Ophthalmology - A systemic approach, Seventh edition, 2011, Elsevier Saunders, 168- 172
Forrester JV, Dick AD, McMenamin PG, Roberts F, Pearlman E. The Eye - Basic science in practice, Fourth edition, 2016, Elsevier, 15- 22.
Fernandez MM, Afshari NA. Endothelial Keratoplasty: From DLEK to DMEK. Middle East African Journal of Ophthalmology. 2010 Jan-Mar; 17(1):5–8. doi: 10.4103/0974- 9233.61210.
GonçalvesDomingues E, Fields F, Paris F, Pereira Gomes JA, Costa de Farias C. Bullous keratopathy: etiopathogenesis and treatment. Arq.Bras.Oftalmol. Nov./Dec. 2008; 71(6) supl.0
Narayana R, Gaster R, and Kenney M. Pseudophakic Corneal Edema: A Review of Mechanisms and Treatments. Cornea. 2006; 25(9): 993-1004.
Iancu R, Voinea L, Ciuluvica R, Golu A, Dinu I, Leasu C, Pricopie S, Gradinaru S. The effect of systemic L-cysteine in myopic patients with corneal edema after cataract surgery. 2015.
Feinbaum C. A new treatment modality with the Hyper CL soft contact lens.Ophthalmology Times Europe. May 2015.
Siu GD, Young AL, Jhanji V. Alternatives to corneal transplantation for the management of bullous keratopathy. Current opinion in ophthalmology. Jul. 2014; 25(4):347-52.
Abud TB, Di Zazzo, Kheirkhah A, Dana R. Systemic Immunomodulatory Strategies in High-risk Corneal Transplantation. Journal of Ophthalmic & Visual Research. 2017 Jan-Mar; 12(1):81-92.
Khan MS, Basit I, Ishaq M, Shakoor T, Yakub A, Intisar R. Corneal Collagen Cross Linking (CXL) in treatment of Pseudophakic Bullous Keratopathy. Pakistan Journal of Medical Sciences. 2016 Jul-Aug; 32(4):965–968.
RituA,ManudhaneA,SaranR,GoyalJ,Gupta D. Role of Corneal Collagen Cross-Linking in Pseudophakic Bullous Keratopathy. American Academy of Ophthalmology Annual Meeting.November 2012, Chicago, Illinois.
dos Santos Paris F, DominguesGonçalves E, Silveira de Queiroz Campos M, Hideo Sato E, Dua HS, Pereira Gomes JA. Amniotic membrane transplantation versus anterior stromal puncture in bullous keratopathy: a comparative study. Brazilian Journal of Ophthalmology. May 2010.
Maini R, Sullivan L, Snibson GR, Taylor HR, Loughnan MS. A comparison of different depth ablations in the treatment of painful bullous keratopathy with phototherapeutic keratectomy.The British Journal of Ophthalmology.Aug. 2001; 85:912–915.
Thomann U, Meier-Gibbons F, Schipper I. Phototherapeutic keratectomy for bullous keratopathy. The British Journal of Ophthalmology.1995; 79:335–8.
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