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New developments in curative and refractive surgery for corneal and conjunctival disorders
G K Lang1, G E Lang, G O Naumann
1University of Ulm, Erlangen, FRG.
Current Opinion in Ophthalmology
|July 8, 1991
Summary
Severe ocular surface diseases, particularly after lye burns, remain challenging. Surgical options reviewed include transplantation, grafting, and novel excimer-laser keratoplasty techniques for improved outcomes.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Ocular Surface Reconstruction
Background:
- Ocular surface diseases, especially post-lye burn, present significant challenges.
- Current surgical management includes autologous nasal mucosa transplantation, keratoepithelioplasty, and polytef alloplastic grafting.
- Pterygium and refractive corneal surgery techniques are also addressed.
Purpose of the Study:
- To review current surgical interventions for ocular surface diseases.
- To discuss established and novel surgical procedures for corneal conditions.
- To highlight challenges such as graft failure and introduce new techniques.
Main Methods:
- Review of established surgical techniques: autologous nasal mucosa transplantation, keratoepithelioplasty, polytef alloplastic grafting, merest sclera surgery, epikeratoplasty, radial keratotomy, keratomileusis, anterior stromal puncture, and keratoplasty.
- Description of a new excimer-laser (193 nm) elliptical keratoplasty technique.
Main Results:
- Various surgical methods are available for ocular surface reconstruction and refractive correction.
- Graft failure remains a significant problem in corneal surgeries.
- Excimer-laser elliptical keratoplasty represents a novel approach.
Conclusions:
- Surgical management of ocular surface diseases involves a range of techniques.
- Addressing challenges like graft failure is crucial for successful outcomes.
- New technologies like excimer-laser keratoplasty offer potential advancements.