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Recurrent erosion. Treatment by anterior stromal puncture
Ophthalmology
|June 1, 1986
Summary
Recurrent corneal erosion often improves with standard treatments. For persistent cases, anterior stromal micropunctures offer a simple, effective surgical option to enhance corneal epithelial adhesion and prevent recurrence.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Ocular Surface Disease
Background:
- Recurrent corneal erosion (RCE) is a common condition.
- Most RCE cases resolve with conservative management, including lubricants, patching, debridement, or bandage contact lenses.
- A subset of patients exhibit refractory RCE unresponsive to conventional therapies.
Observation:
- This study evaluated a minimally invasive surgical technique for recalcitrant RCE.
- The procedure involves creating multiple anterior stromal micropunctures.
- These punctures aim to promote stronger adhesion between the corneal epithelium and stroma.
Findings:
- Twenty-one eyes across 18 patients with refractory RCE underwent anterior stromal micropuncture.
- Three eyes required retreatment in adjacent areas.
- No further recurrences were observed in the remaining eyes during follow-up periods ranging from 5 months to 12 years.
Implications:
- Anterior stromal micropuncture is a safe and effective in-office procedure for managing refractory RCE.
- This technique provides a valuable alternative for patients who fail to respond to non-surgical treatments.
- The procedure may reduce the need for more invasive interventions in challenging RCE cases.
