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Electrolysis-needle cauterization of corneal vessels in patients with lipid keratopathy
Michael S Wertheim1, Stuart D Cook, Nathaniel E Knox-Cartwright
1Bristol Eye Hospital, Bristol, United Kingdom. drwertie@hotmail.com
Purpose:
To describe a technique of corneal vessel occlusion by using electrolysis-needle cautery.
Methods:
A prospective case series of three patients.
Results:
Corneal vessels were successfully occluded in all patients. Vessels remained occluded during the first 8 months post-cautery follow up. Two patients needed repeat cautery at 9 and 10 months respectively. Patients found the procedure comfortable. There was no post-operative induced astigmatism.
Conclusion:
The technique of ENC is simple, effective and controlled. This technique compares favorably and may prove to be more versatile than Fine Needle Diathermy in the occlusion of corneal vessels that lead to lipid keratopathy.

