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Kyung Min Koh, Jin Sun Kim, Young A Kwon, Sang Wroul Song, Byoung Yeop Kim, Jae Lim Chung; Combined treatment of phototherapeutic keratectomy and peripheral anterior stromal puncture in recurrent corneal erosion syndrome. Invest. Ophthalmol. Vis. Sci. 2016;57(12):1240.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate the clinical features and outcomes of patients with recurrent corneal erosion syndrome(RCES) who underwent combined treatment of phototherapeutic keratectomy(PTK) and peripheral anterior stromal puncture(ASP).
Retrospective chart review was conducted for 20 patients (21 eyes) examined from March 2012 to November 2013 that underwent combined treatment of PTK and peripheral ASP for symptoms and signs of RCES. Outcome measures included demographics, history of corneal trauma, prior ocular history, additional treatments needed, and complications.
Forty five percent of patients (9/20) were men, 55% (11/20) were women. The mean age of patients was 41.38 (± 12.3 SD) years. Seventy six percent of patients (16/21) had a prior history of trauma, 14.2% (3/21) had prior laser-assisted in situ keratomileusis (LASIK). Mean follow-up was 57 months (range: 4-92 months). At final follow-up, 90.4% (19/21) of eyes were symptom free and 9.5% (2/21) experienced recurrences. These two patients recurred at postoperative 4 months and 6months, but they were not required additional treatment except temporary therapeutic contact lenses.
Combined treatment of PTK and peripheral anterior stromal puncture is effective in the alleviation of symptom and prevention of recurrence in RCES refractory to conservative measures.
This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.
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