Abstract:
PURPOSE:To describe a new minimally invasive surgical technique for the symptomatic management of bullous keratopathy in blind eyes. METHODS:Four patients with severe corneal edema due to endothelial decompensation and no visual function in the affected eye presented for the relief of their ocular symptoms (pain and tearing). Femtosecond laser technology was used to create a deep corneal pocket into which silicone oil was inserted. RESULTS:After the procedure, all patients demonstrated immediate relief of their symptoms, along with restoration of a normal corneal surface 7 days after the procedure (no bullae and no epithelial defects). All patients remained free of symptoms during the entire follow-up period (from 24 to 31 months). Anterior to the inserted implant, the corneal lamellae remained compact, transparent, and without bullae; whereas the posterior corneal stroma under the implant was edematous. No intraoperative or postoperative complications were noted. CONCLUSIONS:Intracorneal insertion of silicone oil is a feasible new technique for the symptomatic treatment of bullous keratopathy in blind eyes.
journal_name
Corneajournal_title
Corneaauthors
Kymionis GD,Diakonis VF,Kankariya VP,Plaka AD,Panagopoulou SI,Kontadakis GA,Grentzelos MA,Tsilimbaris MK,Pallikaris IGdoi
10.1097/ICO.0000000000000081subject
Has Abstractpub_date
2014-05-01 00:00:00pages
540-3issue
5eissn
0277-3740issn
1536-4798journal_volume
33pub_type
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