Posters

Persistent symptomatic peripheral corneal edema treated with anterior corneal scraping

Poster Details

First Author: K.Nikolakopoulos SWITZERLAND

Co Author(s): G. Kymionis   M. El Wardani   K. Hashemi              

Abstract Details

Purpose:

In this report, we present a novel and simple method of managing a case of persistent symptomatic peripheral corneal edema with good central vision by simple anterior corneal scraping on the slit lamp using a hand-held rotary drill (the Burr instrument).

Setting:

1. Jules Gonin Eye Hospital, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland 2. 1st Department of Ophthalmology, 'G. Gennimatas Hospital', National and Kapodistrian University of Athens, Athens, Greece.

Methods:

After topical anaesthesia with Tetracaine 1%, one drop of diluted Betadine 10% was instilled in the eye. With the burr instrument, a debridement of the epithelium, bowman membrane and anterior stroma in the affected area was performed. Thereafter, a bandage contact lens was placed on the cornea. Antibiotic treatment with Moxifloxacin 5x/day was prescribed until the epithelium healed. Controls of the VA, intraocular pressure and a slit lam examination were performed on day 1, day 5, 1 week, one, three and six months. Slit lamp imaging and anterior segment OCT were performed preoperatively and after one, three and six months.

Results:

Six months after treatment a BCVA of 0,8 was achieved with a normal intraocular pressure. Slit lamp examination revealed peripheral corneal scarring in the affected area without bulla formation. The anterior segment OCT showed reduced corneal thickness, a more homogeneous epithelium and the absence of bulla formation

Conclusions:

This technique provides a simple, rapid, minimal invasive intervention to treat symptomatic peripheral bullous keratopathy.

Financial Disclosure:

None