Posters

The use of corneal scrubbing associated to matrix therapy in the treatment of chronic ulcers

Poster Details

First Author: l.sihem ALGERIA

Co Author(s):                        

Abstract Details

Purpose:

Chronic corneal ulcers are a severe complications of several ocular surface diseases such as dry eye, rosacea or neurotrophy, and can lead to severe complications and loss of vision.

Setting:

clinique of ophtalmology Lazreg

Methods:

Retrospective study on chronic corneal ulcers evolving for several week without responding to conventional treatments ; All the corneal ulcers were scrubbed with cotton buds, some of them received matrix therapy at the dose regiment of a drop every other day until corneal healing and preservative free lubricants 3 times a day, for the painful cases we performed bandage contact lenses, a few part of patients received the bandage contact lenses without matrix therapy ; ocular examination was performed at D0, D3, D7, D15 and D30, with slit lamp examination, fluorecein coloration and measurement of the size of the ulcers,

Results:

15 patients were included and divided on 3 groups, the first group : corneal scrubbing, matrix therapy, lubricant and contact lenses the second group : corneal scrubbing, matrix therapy, lubricant without contact lenses the third group : corneal scrubbing ; lubricant and contact lenses all the ulcers were healed at D30, in the first and second group corneal healing was faster 7 to 10 days, no complications were reported despite one case of descemetocel at D3, with a good outcome at D15

Conclusions:

Corneal scrubbing may accelerate the corneal healing , and helps matrix therapy to be more efficient

Financial Disclosure:

NONE