[Central corneal diseases].

Abstract:

BACKGROUND:Central corneal pathologies can lead to an irreversible decrease of best corrected visual acuity if not diagnosed and treated appropriately. This article reviews the differential diagnosis of central corneal opacities in the newborn, of central infectious corneal ulcers, and the therapy of sterile, central keratolysis. MATERIAL AND METHODS:Authors' personal experience and review of the literature. RESULTS:Flow charts for diagnosis and treatment strategy have been elaborated. CONCLUSIONS:Corneal opacities in newborns create an emergency situation. In order to treat successfully and avoid or diminish amblyopia, it is imperative to rule out congenital glaucoma. The aetiology of central corneal ulcers should always be confirmed by positive cultures to be able to treat specifically. When the standard topic therapy fails, one has to consider rare bacteria, parasites, virus, or patients' compliance. The treatment of central sterile keratolysis in rheumatoid arthritis must be intensive and immunosuppression has to be performed early enough in the course of prevent the formation of a descemetocoele or spontaneous corneal perforation.

journal_name

Klin Monbl Augenheilkd

authors

Frueh BE

doi

10.1055/s-2008-1034797

subject

Has Abstract

pub_date

1999-05-01 00:00:00

pages

291-4

issue

5

eissn

0023-2165

issn

1439-3999

journal_volume

214

pub_type

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