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[Corneal puncture in recurrent corneal erosion].

Authors: T, Reinhard; R, Sundmacher; B, Strunck-Kortenbusch;

[Corneal puncture in recurrent corneal erosion].

Abstract

On the long term, conventional therapy of recurrent erosion (posttraumatic, dystrophic, idiopathic) by patching, bandage lenses and debridement often does not avoid recurrences. Between February 1990 and June 1992 we performed anterior stromal punctures in 47 eyes of 45 patients with recurrent erosion which had not responded to conventional therapy. Our current results during an average follow-up period of 12 months are: 1. Anterior stromal puncture is a safe procedure if exerted under the operation microscope. In our patients perforations did not occur. 2. Neither early postoperative complications, e.g. corneal ulcers, nor long-term postoperative complications, e.g. vision limiting severe stromal scars, could be observed. 3. About 81% of our patients experienced no further recurrence. Another 11% benefitted from significant reduction of recurrences. Therapeutic response was equally good in patients with dystrophic as well as in patients with posttraumatic recurrent erosion. Therefore anterior stromal puncture, if exerted properly, represents a safe and effective therapy in patients with recurrent erosion. For a final judgement much larger groups of patients must be treated in controlled studies and a much longer follow-up period is necessary.

Related Organizations
Keywords

Adult, Male, Reoperation, Microsurgery, Corneal Stroma, Visual Acuity, Punctures, Middle Aged, Postoperative Complications, Recurrence, Humans, Female, Corneal Ulcer, Aged

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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