Posters
Herpetic recurrent corneal erosion syndrome: opportunities of treatment by platelet-rich plasma
Poster Details
First Author: D.Maychuk RUSSIA
Co Author(s): A. Loshkareva
Abstract Details
Purpose:
To estimate effectiveness of platelet-rich plasma (PRP) for treatment of herpetic recurrent cornea erosion syndrome with previously unsuccessful courses of reparative therapy.
Setting:
Therapeutic Ophthalmology Department. Svyatoslav Fyodorov State Institution Eye Microsurgery Complex, 59A Beskudnikovskii Blvd, 127486, Moscow, Russia.
Methods:
30 patients with recurrent corneal erosion syndrome were involved in this study. All patients had in anamnesis one-side Herpetic keratitis. First step of treatment included local and systemic antiviral therapy (Gancyclovir 0,15% and Valcyclovir pills 500mg.). After the therapy, vein blood mixed with Sodium citrate and Dextrosa anticoagulant, subjected to double centrifugation for 4 min. at 3500 rpm, was used. Patients were receiving PRP subconjunctival injections ones a week and instillations 6 times a day. Additional therapy included Dexpanthenol 5%. Treatment dynamics was assessed by Efron scale. For control was used the patients condition before PRP therapy.
Results:
The average index of the corneal lesion before treatment was 9.6 points. After the 1st and 2nd procedure average lesion index was 8.4 and 6.0 points respectively. After 3 weeks, complete epithelization was observed in 23 patients. 5 patients showed a gradual disappearance of the epithelial defects after 5-6 procedures. 2 patients did not show any response.
Conclusions:
Comparative analysis with standard methods of therapy featured positive dynamic of PRP treatment.
Financial Disclosure:
NONE