Recurrent corneal erosion syndrome.

Area of Science:

• Ophthalmology
• Corneal Diseases
• Epithelial Biology

Background:

• Recurrent corneal erosion syndrome (RCES) is a chronic condition causing repeated eye pain and vision issues.
• It stems from weak adhesion of the corneal epithelium, leading to epithelial defects.
• Episodes are often sudden, occurring at night or upon waking, with symptoms like redness and photophobia.

Purpose of the Study:

• To summarize the clinical presentation and management of recurrent corneal erosion syndrome.
• To outline conventional and alternative treatment modalities for RCES.
• To highlight the effectiveness of excimer laser therapy in refractory cases.

Main Methods:

• Review of clinical characteristics and typical patient presentation of RCES.
• Description of standard acute episode management (patching, cycloplegics, antibiotics).
• Overview of advanced treatments including therapeutic contact lenses, anterior stromal puncture, keratectomy, and laser ablation.

Main Results:

• Conservative management is effective for many RCES cases.
• A subset of patients requires more invasive or advanced interventions.
• Excimer laser therapy (phototherapeutic keratectomy) shows significant efficacy in resolving persistent RCES.

Conclusions:

• RCES is a challenging disorder requiring tailored management strategies.
• Prompt and appropriate treatment can alleviate symptoms and prevent vision loss.
• Phototherapeutic keratectomy represents a highly effective option for recalcitrant recurrent corneal erosion syndrome.