Alcohol Delamination of the Corneal Epithelium: An Alternative in the Management of Recurrent Corneal Erosions

Early phototherapeutic keratectomy for basement membrane dystrophy after laser in situ keratomileusis

“…Anterior stromal puncture, 15,16 diamond burr polishing of Bowman membrane, 17 alcohol delamination of the corneal epithelium, 18 and phototherapeutic keratectomy (PTK) [19][20][21] have been successful when conservative treatment has failed.…”

Síndrome erosivo corneal recurrente enmascarado como queratitis epitelial herpética

“…Las metas del tratamiento inicial deben ir encaminadas a disminuir el dolor, promover la reepitelización corneal y restablecer el complejo de anclaje entre la capa de células epiteliales basales y la propia membrana basal. Típica-mente estos pacientes se manejan en el período agudo con lubricación intensa, agentes hipertónicos, cicloplejia, tetraciclinas y la colocación de lentes de contacto blando terapéuticos 21,36,37 . Ramamurthi refiere que el uso de lubricantes es la piedra angular del tratamiento, enfatizando la lubricación nocturna a largo plazo 1 .…”

Asymmetrical Corneal Topography in Map-Dot-Fingerprint Dystrophy Resembling Keratoconus

“…1 However, some patients may present with painless blurring of vision. 3 Slit-lamp examination of the cornea can detect epithelial map-like configurations, dots or fingerprint patterns.…”

“…There are several surgical options to treat MDF keratopathy including stromal punctures with a needle or neodymium:yttrium aluminum garnet (ND:YAG) laser and therapeutic photokeratectomy with excimer laser that can be combined with a refractive correction. [7][8][9] Another surgical treatment is 20% alcohol-assisted delamination, that was originally described by Dua et al 1 and was shown to be a safe and effective treatment for recurrent corneal erosions. They showed by transmission electron microscopy of debrided sheets of epithelium from patients abnormal hemidesmosomes in the basal epithelial layer and a subcellular amorphous nonfibrillar proteinaceous material.…”

“…1 However, some patients may have painless blurred vision due to irregular astigmatism produced by the uneven corneal epithelium. 2 Corneal topography may show asymmetry and irregularity.…”